[Patients with kidney disease]

Abstract

For patients with kidney disease it is particularly important to secure normovolaemia before anaesthesia. By providing the volume that secures a maximal venous oxygen saturation or a maximal cardiac output, such a volume can be defined with an accuracy of 100-200 ml. Surgical procedures for the kidney patient are dominated by providing an i.v. access. The internal jugular vein is preferred after identification of its lumen by ultrasound.