Operations in patients treated by regular haemodialysis

Area of Science:

• Nephrology
• Surgical Anesthesia

Background:

• Chronic renal insufficiency (CRI) poses challenges for surgical patients.
• Patients undergoing regular dialysis require specific perioperative considerations.

Purpose of the Study:

• To evaluate the safety and outcomes of surgical interventions in patients with chronic renal insufficiency on regular dialysis.
• To establish criteria for total anesthesia in this patient population.
• To identify common risks and complications associated with surgery in dialysed patients.

Main Methods:

• Retrospective analysis of 31 patients with chronic renal insufficiency undergoing regular dialysis and surgical procedures.
• Detailed review of pre-operative preparation, intra-operative management, and post-operative care.
• Establishment of criteria for total anesthesia based on clinical experience.

Main Results:

• Regularly dialysed patients tolerate surgical interventions well when appropriately prepared.
• Effective management of uraemic syndrome symptoms through dialysis is crucial.
• Close monitoring during and immediately after surgery is essential for patient safety.

Conclusions:

• Surgical interventions are feasible and well-tolerated in patients with chronic renal insufficiency on regular dialysis.
• Comprehensive pre-operative preparation, including optimized dialysis, is key to successful surgical outcomes.
• Adherence to specific anaesthesia criteria and vigilant post-operative care can mitigate risks and complications.