Korean J Anesthesiol.  2009 Sep;57(3):381-386. 10.4097/kjae.2009.57.3.381.

Anesthesia for synchronous liver and kidney transplantation in a child: A case report

• Park JM
• Lee KH
• Jung CW

• KMID: 2236513
• DOI: http://doi.org/10.4097/kjae.2009.57.3.381

Abstract

Synchronous liver and kidney transplantation (SLK) is considered a treatment of choice for an end-stage liver disease patient with irreversible kidney disease. Several perioperative renal supportive treatments, especially continuous renal replacement therapy (CRRT), have contributed to the effective control of hypervolemia and electrolytes and acid-base disturbances leading to high success rate in adults. However, anesthesia for SLK in children is frequently difficult since the CRRT is seldom available because of difficulty in securing large venous lines. In addition, conventional techniques such as venovenous bypass and side-clamping of the inferior vena cava are less applicable in small children causing difficult volume control. Herein, we report a case of SLK in a child with glycogen storage disease type I with a review of literature.

Keyword

Kidney; Liver; Transplantation

MeSH Terms

Adult
Anesthesia
Child
Electrolytes
Glycogen Storage Disease Type I
Humans
Kidney
Kidney Diseases
Kidney Transplantation
Liver
Liver Diseases
Renal Replacement Therapy
Vena Cava, Inferior
Electrolytes