: A 67-year-old lung transplant recipient with severe comorbidities was admitted for renal transplant. As anesthesia technique, combined spinal-epidural at the T11-T12 level was chosen, associated with intravenous sedation. Graft's function initially results altered, bringing to pulmonary fluid overload. Beginning from the postoperative day 5 there was a slow but constant gain-of-function of the graft, proven by an improvement of renal function indexes and by the resolution of the pulmonary edema. Conclusions: Whereas general anesthesia remains the gold standard anesthesia technique for kidney transplant, a locoregional anesthesia, could be a feasible and effective option in patients at high risk of respiratory complications. (www.actabiomedica.it).
Combined spinal-epidural anesthesia for renal transplant in a lung transplant recipient: a case report / Bellini, Valentina; Madoni, Cristiana; Badino, Marco; Del Rio, Paolo; Iaria, Maurizio; Puliatti, Carmelo; Bignami, Elena. - In: ACTA BIOMEDICA. - ISSN 2531-6745. - 93:S1(2022), pp. 1-5. [10.23750/abm.v93iS1.12328]
Combined spinal-epidural anesthesia for renal transplant in a lung transplant recipient: a case report
Bellini, Valentina;Madoni, Cristiana;Badino, Marco;Del Rio, Paolo;Bignami, Elena
2022-01-01
Abstract
: A 67-year-old lung transplant recipient with severe comorbidities was admitted for renal transplant. As anesthesia technique, combined spinal-epidural at the T11-T12 level was chosen, associated with intravenous sedation. Graft's function initially results altered, bringing to pulmonary fluid overload. Beginning from the postoperative day 5 there was a slow but constant gain-of-function of the graft, proven by an improvement of renal function indexes and by the resolution of the pulmonary edema. Conclusions: Whereas general anesthesia remains the gold standard anesthesia technique for kidney transplant, a locoregional anesthesia, could be a feasible and effective option in patients at high risk of respiratory complications. (www.actabiomedica.it).I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.