ANAESTHETIC MANAGEMENT OF PRE RENAL TRANSPLANT NEPHRECTOMY IN A CASE OF AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE WITH ATRIAL FIBRILATION

Dr.Anupam Purkayastha; Dr Brijesh Patel

Volume : VII, Issue : XI, November - 2018

ANAESTHETIC MANAGEMENT OF PRE RENAL TRANSPLANT NEPHRECTOMY IN A CASE OF AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE WITH ATRIAL FIBRILATION

Dr. Anupam Purkayastha, Dr Brijesh Patel

Abstract :

INTRODUCTION: Atrial Fiillation is one of the most common arrhythmias faced during peri-operative period.AF can be pre-existing, paroxysmal or permanent.AF can be lead to increased peri-operative mortality including stroke, heart failure, sudden cardiac death etc.The precipitating factors of AF like acidosis,electrolyte imbalance,sepsis,hypovolemia,hypotension etc are to be prevented and managed immediately with medical or electrical cardioversion.

CASE REPORT: Here we report a case of fifty years old male patient with Polycystic Kidney Disease resulting in End Stage Renal Disease since 17years on maintenance Hemodialysis twice per week since 6months,associated Hypertension since last 5years and severe LV Dysfunction with EF-30% since 3months with pre-existing AF posted for elective Nephrectomy under General Anaesthesia.