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Chapter 49 - Dialysis

from Section 4 - Renal and Urological

Published online by Cambridge University Press:  03 August 2023

By
Maureen Keshock ,
Lisa L. Bethea  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 49-year-old male with type II diabetes mellitus, hypertension, end-stage renal disease (ESRD), and chronic obstructive pulmonary disease presents for a laparoscopic hemicolectomy for colon polyps. The patient usually receives hemodialysis (HD) 3 days per week. What are the major concerns in the pre-, intra-, and post-operative periods? If surgery is scheduled on the day of dialysis, should the patient receive dialysis prior to the surgery? How will this affect your anesthetic management before, during, and after surgery?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 216 - 221
Publisher: Cambridge University Press
Print publication year: 2023

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