The anesthetic management of a child with chronic hypotension for renal transplantation

Tae W. Kim, Neil Bailard, Lewis A. Coveler

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The anesthetic management of renal transplant recipients requires the maintenance of an adequate perfusion pressure to ensure viability of the donated kidney. A common finding among patients with end-stage renal disease is chronic hypertension. We report a case involving a 2-year-old child with an age-adjusted blood pressure below normal, undergoing transplantation of an adult cadaveric kidney, during which high-dose vasopressor medications were used to sustain the child's blood pressure at above-normal levels to help ensure perfusion of the adult allograft.

Original languageEnglish (US)
Pages (from-to)297-299
Number of pages3
JournalJournal of Clinical Anesthesia
Volume18
Issue number4
DOIs
StatePublished - Jun 1 2006

Keywords

  • Anesthesia, pediatrics
  • Dopamine
  • Hypotension
  • Phenylephrine
  • Renal transplantation
  • Vasopressors

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