Anesthetic management for a patient with renal arterio-venous fistula
| Autor: | Hironori Kitada, Seizo Iwai, Natsu Ikegaki, Yuko Uratsuji |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Cardiac output
medicine.medical_specialty business.industry medicine.medical_treatment Fistula Arteriovenous fistula Hemodynamics medicine.disease Arterial occlusion Nephrectomy Surgery Anesthesiology and Pain Medicine Blood pressure medicine.anatomical_structure Anesthesia medicine Vascular resistance business |
| Zdroj: | Journal of Anesthesia. 4:183-187 |
| ISSN: | 1438-8359 0913-8668 |
| Popis: | Arteriovenous fistula of the renal vessel is an uncommon complication of nephrectomy. Since the first case was reported by Hollingsworth in 1934 , 62 cases have been reported in the world", These fistulas are variable in size and their clinical manifestations. When a lesion is large and chronic, the cardiovascular system may compensate with significant hemodynamic changes, but gradually the large sized fistulas were reported to cause high output failure with or without cardiac decompensation. Accepted treatment is surgical closure of the arteriovenous communication. During the surgical treatment of this fistula, sudden arterial occlusion might result in life-threatening fluxes of 'vascular volumes and pressures. However there is no available report describing the anesthetic management for the operation of renal arterio-venous fistulas. One case was reported which was maintained under GOF anesthesia (Ogasawara et a1.3 ) , though precise description had not been found. In this report, we have traced several hemodynamic parameters such as arterial blood pressure, heart rate, cardiac output, systemic vascular resistance, pulmonary vascular resistance, prior to, during, and after operation. These data are presented and safe and sta |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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