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Anesthesiology Research and Practice
Volume 2014, Article ID 525969, 5 pages
http://dx.doi.org/10.1155/2014/525969
Clinical Study

Anaesthetic Management of Renal Transplant Surgery in Patients of Dilated Cardiomyopathy with Ejection Fraction Less Than 40%

1Department of Anaesthesiology, Mayo Institute of Medical Sciences, Barabanki, Uttar Pradesh, India
2Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
3Department of Nephrology, Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Received 16 May 2014; Revised 7 July 2014; Accepted 28 July 2014; Published 19 August 2014

Academic Editor: Masahiko Kawaguchi

Copyright © 2014 Divya Srivastava et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cardiovascular disease (CVD) is an important comorbidity of chronic kidney disease, and reducing cardiovascular events in this population is an important goal for the clinicians who care for chronic kidney disease patients. The high risk for CVD in transplant recipients is in part explained by the high prevalence of conventional CVD risk factors (e.g., diabetes, hypertension, and dyslipidemia) in this patient population. Current transplant success allows recipients with previous contraindications to transplant to have access to this procedure with more frequency and safety. Herein we provide a series of eight patients with dilated cardiomyopathy with poor ejection fraction posted for live donor renal transplantation which was successfully performed under regional anesthesia with sedation.