Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report
| Autor: | David N. Levin, Farrukh Munshey, Armando J. Lorenzo, Daniel T. Keefe, Alfonso Ernesto Albornoz Pardo |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Context (language use) Critical Care and Intensive Care Medicine medicine.disease Nephrectomy Peritoneal dialysis Surgery Anesthesiology and Pain Medicine Pediatric surgery medicine Dexmedetomidine business Laparoscopy medicine.drug Kidney disease Bilateral Nephrectomy |
| Zdroj: | Colombian Journal of Anesthesiology. |
| ISSN: | 2256-2087 2422-0248 |
| Popis: | We present a 9-year-old patient with end-stage renal disease, on peritoneal dialysis, who underwent a staged prone retroperitoneoscopic bilateral nephrectomy. Bilateral nephrectomy was indicated in preparation for renal transplant in the context of genetic predisposition malignancy when immunosuppressed. The two mirror-image surgeries enable the comparison of the anesthetic management and outcomes in a single patient. Features of interest to anesthesiologists include approach to a child with chronic kidney disease, different requirements for intraoperative antihypertensives; pain management strategies, including a comparison of erector spinae plane block with and without adjunct dexmedetomidine; anesthetic management of retroperitoneoscopic pediatric surgery and the first description of using a Foley bag attached to a peritoneal dialysis catheter to aid in diagnosis and repair of posterior peritoneal cavity entry. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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