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  • Title: The anesthetic management of a child with chronic hypotension for renal transplantation.
    Author: Kim TW, Bailard N, Coveler LA.
    Journal: J Clin Anesth; 2006 Jun; 18(4):297-9. PubMed ID: 16797433.
    Abstract:
    The anesthetic management of renal transplant recipients requires the maintenance of an adequate perfusion pressure to ensure viability of the donated kidney. A common finding among patients with end-stage renal disease is chronic hypertension. We report a case involving a 2-year-old child with an age-adjusted blood pressure below normal, undergoing transplantation of an adult cadaveric kidney, during which high-dose vasopressor medications were used to sustain the child's blood pressure at above-normal levels to help ensure perfusion of the adult allograft.
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