| Anesthesia for Cesarean Section in Renal Transplant Recipients: Report of Two Cases of Epidural and General Anesthesia. |
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Won Sik Kim, Sung Hee Kang, Kyung Han Kim, Tae Ho Jang, Se Hwan Kim |
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Department of Anesthesiology, Kosin Medical College, Pusan, Korea. |
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| Abstract |
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The anesthetic management of the parturient with renal allograft depends on the degree of allograft impairment.
Interaction of antirejection drug with stress of labor and anesthesia must also be considered. If graft function is normal, the anesthetic management is similar to that in normal pregnant patients. In patients with severe renal allograft compromise, large doses of bupivacaine should be avoided if an epidural block is contemplated. We have experienced one case of general anesthesia with enfiurane-nitrous oxide-oxygen and one case of epidural anesthesia with bupivacaine for cesarean seetion in renal transplsnted parturients witbout any gross ill effects to the mothers and newborns perioperatively. The anesthesia was managed with prophylactic antibiotics therapy, urinary catheterization after antiseptic pration, intravenous route with 18 gauge angiocath, steroid supplementation, protection from hypotension and avoidance of hyperglycemia. This report shows either general or epidural anesthesia can be successfully performed in parturient with renal allograft if preparations are properly done. |
| Key Words:
Renal transplantation; Cesarean section; Epidural; General |
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