• A&A practice · Sep 2023

    Case Reports

    Pediatric Renal Transplant With Dilated Cardiomyopathy: A Stepwise Hemodynamic Management-A Case Report.

    • Kashish Garg, Choro Athiphro Kayina, Kamal Kajal, Krishna Prasad Gourav, Ashish Aditya, Sameer Sethi, and Deepesh B Kenwar.
    • From the Department of Emergency Medicine, Government Medical College and Hospital, Chandigarh, India.
    • A A Pract. 2023 Sep 1; 17 (9): e01709e01709.

    AbstractHere we have described the anesthetic management of a 10-year-old patient having uremia-induced dilated cardiomyopathy for a living-related adult to pediatric renal transplant. Maintaining optimal hemodynamics, especially during the reperfusion phase, is crucial for maintaining graft perfusion. However, dilated cardiomyopathy limits indiscriminate fluid administration as it may cause congestive heart failure and pulmonary edema. We have described the fluid therapy algorithm based on the plethysmography variability index and velocity time integral at the left ventricular outflow tract, which was able to limit excessive fluid administration and maintain adequate perfusion pressures.Copyright © 2023 International Anesthesia Research Society.

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