ABSTRACT
Introduction: In present medical scenario relating to therenal failure patients in order to enhance the quality of lifeof such individuals the best modality is the dialysis. Thisprocedure itself involves lot of risk & can complicate themedical condition. The patients experiencing renal collapseare at more risk for increased metabolic & heart related issuesthough they are on treatment of dialysis. Dialysis itself canlead to the condition where other systems are compromised.Study aimed to find out the haemodialysis-to-generalanaesthesia time interval and post-operative complications inhaemodialysis patients in order to better define a more optimalpre-anaesthetic waiting period.Material and Methods: A retrospective study was carriedon patients with end-stage renal disease managed by chronichaemodialysis. The time gap between the haemodialysis end& the introduction of general anaesthesia was calibrated fromthe records available from the inpatient & outpatient files. Theside effect after the end of anaesthesia post operatively wasrecorded in our databank. based on the available informationfrom the records document between the haemodialysis &general anaesthesia, the subjects were divided into threegroups: Group 1 interval >24 hours; Group 2 interval from7-23.9 hours; or Group 3 interval < 7 hours.Results: Demographic and illness scores were not differentbetween groups. The only difference in complications waspostoperative hypotension, which was more common inGroup 3 than either Group 1 or 2.Conclusion: The present study results suggest that it is prudentto put a time lag the elective & urgent induction of generalanaesthesia for major surgeries for about 7 hours subsequentto haemodialysis in order to minimize hypotension.