ID 106058
Author
Oi, Rie Department of Anesthesiology, Tokushima University Hospital
Kakuta, Nami Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Katayama, Toshiko Department of Anesthesiology, Tokushima University Hospital
Wakamatsu, Narutomo Department of Anesthesiology, Tokushima University Hospital KAKEN Search Researchers
Takaishi, Kazumi Department of Dental Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Izaki, Hirofumi Department of Urology, Tokushima University Hospital KAKEN Search Researchers
Kitahata, Hiroshi Department of Dental Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Oshita, Shuzo Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
renal transplantation
circulatory monitoring
fluid management
EV1000 clinical platform
Content Type
Journal Article
Description
For anesthetic management during renal transplantation, it is necessary to maintain the blood flow and function of the transplanted kidney by performing massive fluid management and stabilizing blood pressure. We report anesthetic management for renal transplantation with a less-invasive circulatory monitoring system (Edwards Life Sciences Co., Ltd., Irvine, California, U.S.A.). In November 2010, renal transplantation was started in our hospital, and performed in 6 patients. In the first patient, fluid/circulatory management was conducted by connecting a standard arterial line and a standard central venous (CV) line. In the second patient, a FloTracTM system and a standard CV line were used. In the third patient, a standard arterial line and a PreSepTM CV Oximetry Catheter were used. In the fourth and fifth patients, a FloTracTM and a PreSepTM were used. In the latest patient, FloTracTM and PreSepTM were connected to an EV1000TM Clinical Platform for fluid/circulatory management. The establishment of high-visibility monitors was useful for evaluating the condition and confirming the effects. As there are marked changes in hemodynamics, the CV pressure, which has been used as a parameter of fluid management, is not reliable in renal failure patients with a high incidence of cardiovascular complications. Advances in noninvasive circulatory monitoring with dynamic indices may improve the safety of anesthetic management during renal transplantation.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
60
Issue
1-2
Start Page
159
End Page
163
Sort Key
159
Published Date
2013-02
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital
Oral Sciences