Refractory Hypotension after Anesthesia Induction in a Patient with Diabetic Autonomic Neuropathy and Chronic Renal Failure: A case report.
10.4097/kjae.2008.54.6.694
- Author:
Chang Jae KIM
1
;
Mee Young CHUNG
;
Go Un JUNG
;
Jun Seuk CHEA
;
Byung Ho LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. jhjs0806@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
chronic renal failure;
diabetic neuropathy;
hypotension
- MeSH:
Anesthesia;
Blood Pressure;
Diabetes Mellitus;
Diabetic Neuropathies;
Dialysis;
Dizziness;
Esophageal Spasm, Diffuse;
Humans;
Hypotension;
Kidney Failure, Chronic;
Renal Dialysis
- From:Korean Journal of Anesthesiology
2008;54(6):694-697
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Patients with diabetes or chronic renal failure may develop profound hypotension after anesthesia induction. In a patient with chronic renal failure, inappropriate dialysis may aggravate the hypotension. Combined autonomic neuropathy in diabetes mellitus is the main cause of the undesirable changes in blood pressure after anesthesia induction. We report a case of hypotension refractory to fluid replacement and inotropes in a patient with chronic renal failure for 10 years and diabetes mellitus for 5 years. The patient received hemodialysis on the day before surgery and had developed various symptoms suggestive of autonomic neuropathy (i.e., dizziness on standing, esophageal spasm, intermittent diarrhea).
