Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-13T01:03:11.828Z Has data issue: false hasContentIssue false

Chapter 18 - Renal Anesthesiology in Clinical Practice

Published online by Cambridge University Press:  24 May 2023

Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
Get access

Summary

Kidneys are paired organs, the primary function of which is to excrete metabolic byproducts involving physiologic processes of filtration, reabsorption, secretion, and excretion. The nephron forms the basic functional unit of kidneys and are primarily involved in urine production, excretion of metabolic waste, maintaining serum osmolality, and acid–base homeostasis. All these physiologic processes involve neurohormonal mechanisms and transporters.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Preuss, HG. Basics of renal anatomy and physiology. Clin Lab Med. 1993;13(1):111.Google Scholar
Baxi, V, Jain, A, Dasgupta, D. Anaesthesia for renal transplantation: an update. Indian J Anaesth. 2009;53(2):139–47.Google ScholarPubMed
Mittel, AM, Wagener, G. Anesthesia for kidney and pancreas transplantation.Anesthesiol Clin. 2017;35(3):439–52.CrossRefGoogle ScholarPubMed
Akdemir, AO, Oztekin, CV, Doluoglu, OG, et al. The effects of transurethral resection of the prostate on morbidity and mortality in patients with nondialysis-requiring renal insufficiency. Ther Adv Urol. 2012;4(2):51–6.CrossRefGoogle ScholarPubMed
Carlo, JO, Phisitkul, P, Phisitkul, K, Reddy, S, Amendola, A. Perioperative implications of end-stage renal disease in orthopaedic surgery. J Am Acad Orthop Surg. 2015;23(2):107–18.CrossRefGoogle ScholarPubMed
Dhondup, T, Kittanamongkolchai, W, Vaughan, LE, et al. Risk of ESRD and mortality in kidney and bladder stone formers. Am J Kidney Dis.2018;72(6):790–7.CrossRefGoogle ScholarPubMed
Domi, R, Huti, G, Sula, H, et al. From pre-existing renal failure to perioperative renal protection: the anesthesiologist’s dilemmas. Anesthesiol Pain Med. 2016;6(3):e32386.CrossRefGoogle ScholarPubMed
Kanda, H, Hirasaki, Y, Iida, T, et al. Perioperative management of patients with end-stage renal disease. J Cardiothorac Vasc Anesth. 2017;31(6):2251–67.CrossRefGoogle ScholarPubMed
Kefer, JC, Desai, MM, Fergany, A, Novick, AC, Gill, IS. Outcomes of partial nephrectomy in patients on chronic oral anticoagulant therapy. J Urol. 2008;180(6):2370–4.CrossRefGoogle ScholarPubMed
Koo, C, Ryu, J. Anesthetic considerations for urologic surgeries. Korean J Anesthesiol. 2020;73(2):92102.CrossRefGoogle ScholarPubMed
Nasr, R, Chilimuri, S. Preoperative evaluation in patients with end-stage renal disease and chronic kidney disease. Health Serv Insights. 2017;10:117863291771302.CrossRefGoogle ScholarPubMed
Olanipekun, T, Effoe, V, Turner, J, Flood, M. Bladder necrosis and perforation in end-stage renal disease and recurrent urinary tract infection: a rare medical emergency. Int J Crit Illn Inj Sci. 2019;9(2):101–4.Google Scholar
Teo, JS, Lee, YM, Ho, HS. An update on transurethral surgery for benign prostatic obstruction. Asian J Urol. 2017;4(3):195–8.Google ScholarPubMed
Sahinovic, MM, Struys, MMRF, Absalom, AR. Clinical pharmacokinetics and pharmacodynamics of propofol. Clin Pharmacokinet. 2018;57(12):1539–58.CrossRefGoogle ScholarPubMed
Erdoes, G, Basciani, RM, Eberle, B. Etomidate – a review of robust evidence for its use in various clinical scenarios. Acta Anaesthesiol Scand. 2014;58(4):380–9.Google Scholar
Zhong, W, Zhang, Y, Zhang, MZ, et al. Pharmacokinetics of dexmedetomidine administered to patients with end-stage renal failure and secondary hyperparathyroidism undergoing general anaesthesia. J Clin Pharm Ther. 2018;43(3):414–21.CrossRefGoogle ScholarPubMed
Aroni, F, Iacovidou, N, Dontas, I, Pourzitaki, C, Xanthos, T. Pharmacological aspects and potential new clinical applications of ketamine: reevaluation of an old drug. J Clin Pharmacol. 2009;49(8):957–64.CrossRefGoogle ScholarPubMed
Mion, G, Villevieille, T. Ketamine pharmacology: an update (pharmacodynamics and molecular aspects, recent findings). CNS Neurosci Ther. 2013;19(6):370–80.CrossRefGoogle ScholarPubMed
Zanos, P, Moaddel, R, Morris, PJ, et al. Ketamine and ketamine metabolite pharmacology: insights into therapeutic mechanisms. Pharmacol Rev. 2018;70(3):621–60Google Scholar
Cornett, EM, Novitch, MB, Brunk, AJ, et al. New benzodiazepines for sedation. Best Pract Res Clin Anaesthesiol. 2018;32(2):149–64.CrossRefGoogle ScholarPubMed
King, S, Forbes, K. A systematic review of the use of opioid medication for those with moderate to severe cancer pain and renal impairment: a European Palliative Care Research Collaborative opioid guidelines project. Palliat Med. 2011;25(5):525–52.CrossRefGoogle Scholar
Alizadeh, R, Fard, ZA. Renal effects of general anesthesia from old to recent studies. J Cell Physiol. 2019;234(10):16944–52.CrossRefGoogle ScholarPubMed
Ong Sio, LC, Dela Cruz, RG, Bautista, A. Sevoflurane and renal function: a meta-analysis of randomized trials. Med Gas Res. 2017;7(3):186–93.Google Scholar
Dayan, AD. Analgesic use of inhaled methoxyflurane. Hum Exp Toxicol. 2016;35(1):91100.Google Scholar
Isik, Y, Palabiyik, O, Cegin, BM, Goktas, U, Kati, I. Effects of sugammadex and neostigmine on renal biomarkers. Med Sci Monit. 2016;22:803–9.Google Scholar
Luo, J, Chen, S, Min, S, Peng, L. Reevaluation and update on efficacy and safety of neostigmine for reversal of neuromuscular blockade. Ther Clin Risk Manag. 2018;14:2397–406.CrossRefGoogle ScholarPubMed
Craig, RG, Hunter, JM. Neuromuscular blocking drugs and their antagonists in patients with organ disease. Anaesthesia. 2009;64(Suppl. 1):5565.Google Scholar
Staals, LM, Snoeck, MMJ, Driessen, JJ, et al. Reduced clearance of rocuronium and sugammadex in patients with severe to end-stage renal failure: a pharmacokinetic study. Br J Anaesth. 2010;104(1):31–9.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×