• J. Cardiothorac. Vasc. Anesth. · Dec 2017

    Review

    Perioperative Management of Patients With End-Stage Renal Disease.

    • Hirotsugu Kanda, Yuji Hirasaki, Takafumi Iida, Megumi Kanao-Kanda, Yuki Toyama, Takashi Chiba, and Takayuki Kunisawa.
    • Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan. Electronic address: h.kanda0629@nifty.com.
    • J. Cardiothorac. Vasc. Anesth. 2017 Dec 1; 31 (6): 2251-2267.

    AbstractEnd-stage renal disease (ESRD) is associated with significant alterations in cardiovascular function; homeostasis of body fluid, electrolytes, and acid-base equilibrium; bone metabolism, erythropoiesis; and blood coagulation. The prevalence of ESRD is increasing rapidly worldwide, as is the number of patients requiring surgery under general anesthesia. Patients with ESRD have significantly higher risks of perioperative morbidity and mortality due to multiple comorbidities. The perioperative management of patients with ESRD under general anesthesia therefore requires special considerations and a careful multidisciplinary approach. In this review, the authors summarize the available literature to address common issues related to patients with ESRD and discuss the best perioperative approach for this patient subgroup.Copyright © 2017 Elsevier Inc. All rights reserved.

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