Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%

Abstract

Cardiovascular disease (CVD) is an important comorbidity of chronic kidney disease, and reducing cardiovascular events in this population is an important goal for the clinicians who care for chronic kidney disease patients. The high risk for CVD in transplant recipients is in part explained by the high prevalence of conventional CVD risk factors (e.g., diabetes, hypertension, and dyslipidemia) in this patient population. Current transplant success allows recipients with previous contraindications to transplant to have access to this procedure with more frequency and safety. Herein we provide a series of eight patients with dilated cardiomyopathy with poor ejection fraction posted for live donor renal transplantation which was successfully performed under regional anesthesia with sedation.

Figure 1

Intraoperative haemodynamics. (Values are mean of readings of eight patients.) SBP: systolic blood pressure, MAP: mean arterial pressure, DBP: diastolic blood pressure, PAOP: pulmonary artery occlusion pressure, CVP: central venous pressure, and SAB: subarachnoid block.

Figure 2

Intraoperative haemodynamics. (Values are mean of readings of eight patients.) SAB: subarachnoid block.