Open AccessAnesthetic considerations in a patient of autosomal dominant polycystic kidney disease on hemodialysis for emergency cesarean section
Author(s) -
Sarita Fernandes,
Deepa Suvarna
Publication year - 2011
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.83694
Subject(s) - medicine , hemodialysis , polycystic kidney disease , pregnancy , fentanyl , gestation , preeclampsia , obstetrics and gynaecology , elective cesarean section , obstetrics , anesthesia , disease , surgery , biology , genetics
Renal disease, either preexisting or occurring during gestation may impair maternal and fetal health. A 35-year-old primigravida with autosomal dominant polycystic kidney disease on hemodialysis was scheduled for emergency cesarean section. She was managed successfully with low-dose intrathecal bupivacaine and fentanyl. In the case of pregnancy in such a patient, early involvement of the nephrologists along with the obstetrician can improve maternal and fetal outcome.