A case of acute renal failure (ARF) occurred in a 80 years-old woman with normal renal function, ECG and preoperative analises is reported. After a low-flow anesthesia with sevoflurane for umbilicqal hernioplastic, the patient presented acute anuric renal failure. The pharmacological treatment, associated with haemodyalisis, restored a complete renal function after 24 days, six of them spent in intensive care unit for pulmonary embolism. As the renal failure occurred in the early perioperative period, we supposed that the direct cause of ARF could be one of the following drugs used: sevofluorane, ceftriaxone and ketorolac, the latter used as postoperative analgesia associated with morphine. In the current literature no case of renal failure related to sevoflurane, to ceftriaxone, or to ketorolac is reported. A low cardiac output syndrome, albeit short lasting in an old patient at high risk for hypertension and atherosclerosis, might have been the cause of an acute tubular necrosis in the perioperative period.
|Translated title of the contribution||Perioperative acute renal failure: Related or not to anesthesia?|
|Number of pages||7|
|Journal||Acta Anaesthesiologica Italica / Anaesthesia and Intensive Care in Italy|
|Publication status||Published - 2001|
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine