Anesthesia for Renal Transplantation

1. Front Matter

   Pages i-xvi

   PDF

2. History of Renal Transplantation

   • Gwendolyn B. Graybar

   Pages 1-22

3. Renal Anatomy and Pathophysiology

   • Margaret Tarpey

   Pages 23-30

4. The Medical Management of Renal Transplant Patients

   • John J. Curtis

   Pages 31-46

5. Brain Death and Management of the Cadaveric Donor

   • Pamela D. Varner, Robert D. McKay

   Pages 47-68

6. The Living Related Donor

   • Lois L. Bready

   Pages 69-82

7. Surgical Aspects of Renal Transplantation

   • John D. Whelchel

   Pages 83-97

8. Monitoring

   • Lois L. Bready

   Pages 99-105

9. Fluids, Electrolytes, and Blood Transfusions

   • James R. Boyce

   Pages 107-121

10. Intravenous Agents and Renal Failure

    • John A. Youngberg

    Pages 123-138

11. Choice of Anesthesia

    • Gwendolyn B. Graybar

    Pages 139-155

12. Muscle Relaxants and Renal Failure

    • Gwendolyn B. Graybar

    Pages 157-175

13. Postanesthetic Recovery

    • Lois L. Bready

    Pages 177-190

14. Anesthesia-Related Morbidity

    • Lois L. Bready

    Pages 191-197

15. Anesthesia for Pediatric Renal Transplantation

    • Elena Adler, Patricia A. Gibbons

    Pages 199-211

16. Anesthesia for Vascular Access and Other Procedures

    • Gwendolyn B. Graybar, Hamdi Erdemir

    Pages 213-246

17. A Game Plan

    • Gwendolyn B. Graybar, Lois L. Bready

    Pages 247-264

18. Back Matter

    Pages 265-272

    PDF

This treatise commemorates the 32nd anniversary of the first successful allogenic kidney transplant in a human being and the beginning of a con­ tinuing challenge for well over a generation of anesthesiologists. If compari­ sons can be permitted, this epoch-making event can be ranked with the first pulmonary lobectomy and subsequently the initial ligation of a patent ductus arteriosus in the late 1930s when thoracic and cardiac surgery began. Was it merely a coincidence that brought these events to the fore so close upon one another after many years of ideation and frustration? Not so, according to Lewis Thomas, for this was the time of medicine's second revolution-its transformation from an empirical art into a powerfully effective science. The remote Galenic conception of disease with its emphasis on disturbed body humors was about to be supplanted by effective therapeutics, as signified by the introduction of the sulfonamides and antibiotics for the specific treatment of infection. Anesthesiology had been dormant up to that era, still relying upon a few agents, more or less utilized from the beginning, and purveyed by a handful of specialists who had not yet begun to ask the scientific questions necessary for their maturation into a bona fide discipline. However, anesthesiology was in­ evitably caught in the ferment, for as Peter Caws observed, "It serves to re­ mind us that the development of science is a step-wise process: nobody starts from scratch and nobody gets very far ahead of the rest.

• infection
• kidney
• pathophysiology
• surgery
• transplantation

"... a well-produced monograph dealing with anesthesia a human renal transplantation. The book is comprehensive and is authored by a distinguished group of experts." (Nephron, 50:88, 1988)

• The University of Alabama at Birmingham, Birmingham, USA

  Gwendolyn B. Graybar

• Health Science Center at San Antonio, The University of Texas, San Antonio, USA

  Lois L. Bready

Policies and ethics