[A case report of hypoxia in a child after renal transplantation]

A 4 year-old boy underwent renal transplantation and the kidney was given by his mother. Anesthesia was induced slowly with halothane and nitrous oxide in oxygen. The trachea was intubated with pancuronium and the anesthesia was switched to neurolept anesthesia. Blood, plasmanate and crystalloid were infused in order to increase the circulatory blood volume measuring the CVP before the kidney was transplanted because it was so large for the child that it could not be perfused adequately. The spontaneous breathing and soon the recovery followed immediately after the end of operation. However, the patient became hypoxic on the next day probably due to the aspiration of gastric juice. He recovered from hypoxia after 3 days since the aspiration pneumonia was not severe. When the adult kidney is transplanted into a very small child, gastric juice can easily be regurgitated because of the high intraabdominal pressure. Therefore, we must be careful when a child undergoes renal transplantation.