Anesthetic Management for Coronary Bypass Patientson Hemodialysis : Report of 4 Patients
SIRILAK SUKSOMPONG, M.D.*,
UNGKAB PRAKANRATTANA, M.D.*,
SOMCHAI SRIYOSCHATI, M.D.**
Affiliation : * Department of Anesthesiology,
** Cardiovascular and Thoracic Surgery Division, Department of Surgery, Faculty of Medicine Siriraj Hospital,
Mahidol University, Bangkok 10700, Thailand.
AbstractWe reported our own experience in four patients with chronic renal failure on main
tenance hemodialysis undergoing coronary artery bypass graft surgery (CABGS). A balanced
general anesthesia with endotracheal intubation was successfully achieved by using midazolam,
atracurium, fentanyl, pentothal, nitrous oxide in oxygen and isoflurane. All patients were hemo
dialyzed within 24 hours before operation. One patient started peritoneal dialysis 10 hours after
surgery. Three other patients were managed by hemodialysis the day after surgery. There was
no hospital mortality. Many aspects of management of these patients which differ from those of
routine cardiac surgical patients are outlined and discussed.
Keywords : Chronic Renal Failure, Hemodialysis, Anesthetic Management, Coronary Artery Bypass Graft
All Articles
Download
