Beans
This non-depolarizing neuromuscular blocker is preferred for renal patients because it is metabolized independently of the kidneys.
What is cisatracurium?
A life-threatening complication of TURP caused by excessive absorption of irrigation fluid.
What is TURP syndrome?
This common perioperative IV fluid contains sodium chloride, potassium chloride and calcium chloride (among other things) and should be carefully used in renal injury patients.
What is Lactated Ringer's solution?
This electrolyte imbalance is the most dangerous and must be closely monitored in patients with renal disease undergoing anesthesia.
What is hyperkalemia?
This physiological change due to prolonged pneumoperitoneum in laparoscopic nephrectomy can lead to hypercarbia and respiratory acidosis.
What is decreased pulmonary compliance?
This inhaled anesthetic is best avoided in patients with renal disease due to the theoretical potential for fluoride nephrotoxicity.
What is sevoflurane?
This position is commonly used for genitourinary surgeries and increases the risk of nerve injuries.
What is the lithotomy position?
The most appropriate resuscitation fluid for a patient with renal failure.
What is normal saline (0.9% NaCl)?
The primary site of erythropoietin production, which is often impaired in chronic kidney disease (CKD).
What are the kidneys?
This maneuver is often required for patients undergoing robotic-assisted laparoscopic prostatectomy to improve ventilation and oxygenation.
What is alveolar recruitment with PEEP and/or increasing tidal volumes?
This hormone deficiency contributes to anemia in chronic renal failure patients.
What is erythropoietin?
This type of anesthesia is commonly used for transurethral resection of the prostate (TURP), especially in elderly patients with severe comorbidities.
What is spinal anesthesia?
This syndrome occurs due to the rapid correction of metabolic disturbances such as hyponatremia and can cause severe neurological damage.
What is central pontine myelinolysis?
This acid-base disorder is commonly seen in patients with chronic renal failure.
What is metabolic acidosis?
This anesthetic drug should be used cautiously in patients with renal failure due to its active metabolites that can cause prolonged respiratory depression.
What is morphine?
The major cause of an anion gap metabolic acidosis in chronic renal failure patients.
What is uremia?
Name three intraoperative complications that are perianesthetic concerns during robotic-assisted laparoscopic prostatectomy due to prolonged Trendelenburg positioning.
What are increased intraocular pressure, facial/airway edema, ventilation changes (reduced VC and FRC), positioning injuries (joint/nerve injury)?
This abnormal serum electrolyte state is chiefly responsible for the CNS changes commonly observed in TURP syndrome.
This hormonal system is activated due to decreased renal perfusion, leading to increased sodium and water retention.
What is the renin-angiotensin-aldosterone system (RAAS)?
This position, frequently used in robotic and laparoscopic urologic procedures, increases the risk of facial and airway edema.
What is steep Trendelenberg?
Analysis of these should include: Last dialysis, acid-base status, hemoglobin level, serum potassium, last doses of ACE inhibitors & angiotensin receptor blockers,
What are perioperative considerations for kidney disease (renal failure) patients?
The classic triad of symptoms in TURP syndrome.
What are hyponatremia, hypertension, and mental status changes?
This electrolyte imbalance is commonly seen in patients with chronic kidney disease and causes prolonged QT intervals.
What is hypocalcemia?
This laboratory value is the most sensitive indicator of renal function in elderly patients.
What is creatinine clearance?
Three regional techniques that may be used for postoperative analgesia in nephrectomy and/or renal transplant patients.
What are lumbar paravertebral blocks, erector spinae plane blocks, quadratus lumborum blocks, transversus abdominus plane blocks, and/or lumbar epidurals?