Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report

Keywords: Pediatric anesthesia, Kidney failure, Chronic, Erector spinae plane block, Hypertension, renal, Nephrectomy, Laparoscopy, Case report

Abstract

We present a 9-year-old patient with end-stage renal disease, on peritoneal dialysis, who underwent a staged prone retroperitoneoscopic bilateral nephrectomy. Bilateral nephrectomy was indicated in preparation for renal transplant in the context of genetic predisposition malignancy when immunosuppressed. The two mirror-image surgeries enable the comparison of the anesthetic management and outcomes in a single patient. Features of interest to anesthesiologists include approach to a child with chronic kidney disease, different requirements for intraoperative antihypertensives; pain management strategies, including a comparison of erector spinae plane block with and without adjunct dexmedetomidine; anesthetic management of retroperitoneoscopic pediatric surgery and the first description of using a Foley bag attached to a peritoneal dialysis catheter to aid in diagnosis and repair of posterior peritoneal cavity entry.

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How to Cite
1.
Albornoz Pardo AE, Keefe D, Neville Levin D, Lorenzo AJ, Munshey F. Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report. Colomb. J. Anesthesiol. [Internet]. 2021Oct.22 [cited 2022Jul.6];50(3). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1009

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Published
2021-10-22
How to Cite
1.
Albornoz Pardo AE, Keefe D, Neville Levin D, Lorenzo AJ, Munshey F. Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report. Colomb. J. Anesthesiol. [Internet]. 2021Oct.22 [cited 2022Jul.6];50(3). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/1009
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Case Report / Case Series
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