Refractory Hypotension after Anesthesia Induction in a Patient with Diabetic Autonomic Neuropathy and Chronic Renal Failure: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 694-697, 2008.
Artículo
en Coreano
| WPRIM
| ID: wpr-192854
ABSTRACT
Patients with diabetes or chronic renal failure may develop profound hypotension after anesthesia induction. In a patient with chronic renal failure, inappropriate dialysis may aggravate the hypotension. Combined autonomic neuropathy in diabetes mellitus is the main cause of the undesirable changes in blood pressure after anesthesia induction. We report a case of hypotension refractory to fluid replacement and inotropes in a patient with chronic renal failure for 10 years and diabetes mellitus for 5 years. The patient received hemodialysis on the day before surgery and had developed various symptoms suggestive of autonomic neuropathy (i.e., dizziness on standing, esophageal spasm, intermittent diarrhea).
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Presión Sanguínea
/
Espasmo Esofágico Difuso
/
Diálisis Renal
/
Diabetes Mellitus
/
Neuropatías Diabéticas
/
Diálisis
/
Mareo
/
Hipotensión
/
Anestesia
/
Fallo Renal Crónico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2008
Tipo del documento:
Artículo
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