Anesthesia for simultaneous pancreasª²kidney transplantation and management of perioperative period

    CHEN Shaoª²Yang£¬XIONG Liª²Ze£¬YANG Liª²Fang£¬LI Yang£¬GONG Gu£¬ZHU Xiaoª²Ling£¬ZENG Yi£¬SANG Hanª²Fei

    Department of Anesthesiology£¬Xijing Hospital£¬Fourth Military Medical University£¬Xi¬ðan 710033£¬China

    ¡¾Abstract¡¿ AIM: To explore the anesthesia and management of perioperative period for patients suffering diabetes with end stage renal failure during simultaneous pancreasª²kidney transplantation.METHODS: Proper preª²operative preparation included assuaging uremia,controlling blood glucose concentration,alleviating anemia,ameliorating cardiac function,actively controlling infection,adopting epidural anesthesia,monitoring the arterial blood pressure,central venous pressure,electrocardiogram and oxygen saturation continuously,as well as blood glucose concentration and blood gas regularly,and adjusting the dose of insulin and the velocity of transfusion. RESULTS: The circulation was stable and the blood gas was normal from the beginning of the operation to the opening of anastomosed renal artery.The arterial blood pressure and central venous pressure were then at a higher level.The blood glucose concentration,urine volume and serum amylase remained normal level.CONCLUSION: Epidural anesthesia is safe and feasible for the operation.Proper preª²operative preparation,and the stability of hemodynamics and normal blood glucose concentration are critical for the management of perioperative period. ......