Anaesthesia in chronic dialysis patients: A narrative review

doi:10.5492/wjccm.v14.i1.100503

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Mar 9, 2025 (publication date) through Dec 19, 2024

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Crit Care Med. Mar 9, 2025; 14(1): 100503
Published online Mar 9, 2025. doi: 10.5492/wjccm.v14.i1.100503

Anaesthesia in chronic dialysis patients: A narrative review

Julian Yaxley

Julian Yaxley, Department of Medicine, Queensland Health, Meadowbrook 4131, Qld, Australia

Author contributions: Yaxley J was the sole contributor, wrote the article.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Julian Yaxley, FRACP, Doctor, Department of Medicine, Queensland Health, Loganlea Rd, Meadowbrook 4131, Qld, Australia. julian.yaxley@gmail.com

Received: August 18, 2024
Revised: October 27, 2024
Accepted: November 12, 2024
Published online: March 9, 2025
Processing time: 114 Days and 23.7 Hours

Core Tip

Core Tip: Patients on chronic dialysis have increased perioperative and anaesthetic risks. Sedative and analgesic agents must be titrated appropriately. The optimal blood pressure targets are unknown but may be higher than for the general population. Caution is necessary with electrolyte and fluid management. A detailed pre-anaesthesia evaluation is particularly important in this patient group.