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Anestezie a pooperační péče u transplantací ledvin
: P. Michálek 1; R. Danč 2
: Anesteziologicko-resuscitační oddělení, Nemocnice Na Homolce, Praha, primář MUDr. M. Ročeň2Department of Anaesthesia, St. Luke´s Hospital, Guardamangia-Valetta, Malta, Head: Joseph Zarb Adami, M. D. 1
: Anest. intenziv. Med., , 2002, č. 6, s. 263-268
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Transplantace ledviny je jedinou kauzální a dnes již standardní léčbou pokročilé a ireverzibilní fáze selhání ledvin. Jejím cílem je zlepšit kvalituživota nemocného a stabilizovat komplikace spojené s chronickou renální insuficiencí a dialyzační léčbou. Práce popisuje patofyziologické změnyspojené s chronickým selháním ledvin, historické souvislosti, indikace transplantace ledvin, perioperační anesteziologickou péči o nemocné s renálnímselháním, volbu anesteziologické techniky a bezprostřední pooperační péči u tohoto operačního výkonu.
Klíčová slova:
chronické selhání ledvin – transplantace ledvin kadaverózní, příbuzenská – anestezie celková – CSE svodná anestezie – reperfuzní změny – pooperační péče – imunosuprese
Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
Article was published inAnaesthesiology and Intensive Care Medicine
2002 Issue 6-
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