Key result
Chronic dialysis increases perioperative risks, demanding careful sedative titration and individualized fluid management.
Why the study?
The provision of anaesthesia for individuals receiving chronic dialysis can be challenging.
Patients on chronic dialysis have increased perioperative risks requiring careful titration of sedative and analgesic agents and individualized cardiorespiratory support.
Supports individualized perioperative care in dialysis patients; leaves open need for prospective trials to define optimal protocols.
The provision of anaesthesia for individuals receiving chronic dialysis can be challenging. Sedation and anaesthesia are frequently managed by critical care clinicians in the intensive care unit or operating room. This narrative review summarizes the important principles of sedation and anaesthesia for individuals on long-term dialysis, with reference to the best available evidence. Topics covered include the pharmacology of anaesthetic agents, the impacts of patient characteristics upon the pre-anaesthetic assessment and critical illness, and the fundamentals of dialysis access procedures.
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Julian Yaxley (2024) conducted a review in End-stage renal failure requiring chronic dialysis. Anaesthesia and sedation was evaluated. Patients on chronic dialysis have increased perioperative and anaesthetic risks, requiring careful titration of sedative and analgesic agents and individualized cardiorespiratory and fluid management.
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