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

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Title: Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report.
Alternate Title: Consideraciones anestésicas y quirúrgicas en nefrectomía bilateral en dos tiempos en un paciente pediátrico: Reporte de caso.
Authors: Albornoz Pardo, Alfonso Ernesto1 ernesto.albornoz@sickkids.ca, Keefe, Daniel2, Levin, David Neville1,2, Lorenzo, Armando José2, Munshey, Farrukh1
Source: Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología. Jul-Sep2022, Vol. 50 Issue 3, p1-5. 5p.
Subjects: CHILD patients, DIALYSIS catheters, KIDNEY diseases, NEPHRECTOMY, ERECTOR spinae muscles, CHRONIC kidney failure, PEDIATRIC surgery, ANESTHETICS
Abstract (English): 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. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Se presenta un paciente de 9 años de edad con enfermedad renal terminal, en diálisis peritoneal, quien se sometió a nefrectomía bilateral retroperitoneoscópica estadificada en posición prona. Se indicó la nefrectomía bilateral en preparación para trasplante renal en el contexto de predisposición genética hacia desarrollar una patología maligna al estar inmunosuprimido. Las dos cirugías en espejo permiten hacer una comparación del manejo anestésico y de los desenlaces en un mismo paciente. Las características de interés para los anestesiólogos incluyen el abordaje de un niño con enfermedad renal crónica, con requisitos diferentes de antihipertensivos intraoperatorios; estrategias para el manejo del dolor, incluyendo una comparación de bloqueo del plano del erector espinal con y sin dexmedetomidina adyuvante; manejo anestésico de cirugía pediátrica retroperitoneoscópica y la primera descripción del uso de una bolsa Foley conectada a un catéter de diálisis peritoneal para ayudar en el diagnóstico y la reparación de la entrada de la cavidad peritoneal posterioor. [ABSTRACT FROM AUTHOR]
Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Label: Title
  Group: Ti
  Data: Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Consideraciones anestésicas y quirúrgicas en nefrectomía bilateral en dos tiempos en un paciente pediátrico: Reporte de caso.
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  Data: <searchLink fieldCode="AR" term="%22Albornoz+Pardo%2C+Alfonso+Ernesto%22">Albornoz Pardo, Alfonso Ernesto</searchLink><relatesTo>1</relatesTo><i> ernesto.albornoz@sickkids.ca</i><br /><searchLink fieldCode="AR" term="%22Keefe%2C+Daniel%22">Keefe, Daniel</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Levin%2C+David+Neville%22">Levin, David Neville</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Lorenzo%2C+Armando+José%22">Lorenzo, Armando José</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Munshey%2C+Farrukh%22">Munshey, Farrukh</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Colombian+Journal+of+Anesthesiology+%2F+Revista+Colombiana+de+Anestesiología%22">Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología</searchLink>. Jul-Sep2022, Vol. 50 Issue 3, p1-5. 5p.
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  Data: <searchLink fieldCode="DE" term="%22CHILD+patients%22">CHILD patients</searchLink><br /><searchLink fieldCode="DE" term="%22DIALYSIS+catheters%22">DIALYSIS catheters</searchLink><br /><searchLink fieldCode="DE" term="%22KIDNEY+diseases%22">KIDNEY diseases</searchLink><br /><searchLink fieldCode="DE" term="%22NEPHRECTOMY%22">NEPHRECTOMY</searchLink><br /><searchLink fieldCode="DE" term="%22ERECTOR+spinae+muscles%22">ERECTOR spinae muscles</searchLink><br /><searchLink fieldCode="DE" term="%22CHRONIC+kidney+failure%22">CHRONIC kidney failure</searchLink><br /><searchLink fieldCode="DE" term="%22PEDIATRIC+surgery%22">PEDIATRIC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22ANESTHETICS%22">ANESTHETICS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Se presenta un paciente de 9 años de edad con enfermedad renal terminal, en diálisis peritoneal, quien se sometió a nefrectomía bilateral retroperitoneoscópica estadificada en posición prona. Se indicó la nefrectomía bilateral en preparación para trasplante renal en el contexto de predisposición genética hacia desarrollar una patología maligna al estar inmunosuprimido. Las dos cirugías en espejo permiten hacer una comparación del manejo anestésico y de los desenlaces en un mismo paciente. Las características de interés para los anestesiólogos incluyen el abordaje de un niño con enfermedad renal crónica, con requisitos diferentes de antihipertensivos intraoperatorios; estrategias para el manejo del dolor, incluyendo una comparación de bloqueo del plano del erector espinal con y sin dexmedetomidina adyuvante; manejo anestésico de cirugía pediátrica retroperitoneoscópica y la primera descripción del uso de una bolsa Foley conectada a un catéter de diálisis peritoneal para ayudar en el diagnóstico y la reparación de la entrada de la cavidad peritoneal posterioor. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.5554/22562087.e1009
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 1
    Subjects:
      – SubjectFull: CHILD patients
        Type: general
      – SubjectFull: DIALYSIS catheters
        Type: general
      – SubjectFull: KIDNEY diseases
        Type: general
      – SubjectFull: NEPHRECTOMY
        Type: general
      – SubjectFull: ERECTOR spinae muscles
        Type: general
      – SubjectFull: CHRONIC kidney failure
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      – SubjectFull: PEDIATRIC surgery
        Type: general
      – SubjectFull: ANESTHETICS
        Type: general
    Titles:
      – TitleFull: Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report.
        Type: main
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      – PersonEntity:
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            NameFull: Albornoz Pardo, Alfonso Ernesto
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            NameFull: Keefe, Daniel
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            NameFull: Levin, David Neville
      – PersonEntity:
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            NameFull: Lorenzo, Armando José
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            NameFull: Munshey, Farrukh
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            – D: 01
              M: 07
              Text: Jul-Sep2022
              Type: published
              Y: 2022
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              Value: 50
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              Value: 3
          Titles:
            – TitleFull: Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología
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