Anaesthesia for renal failure and dialysis

Your progress

Saved on this device.

Target exams

Red flags

• Never place BP cuff, arterial line, or IV on the fistula arm — protect the access at all costs.
• Hyperkalaemia kills: check K+ close to surgery; have calcium, insulin–glucose, bicarbonate context, salbutamol, and dialysis pathway ready.
• Morphine and pethidine active metabolites accumulate — prefer fentanyl/alfentanil/remifentanil and adjust dosing.
• Suxamethonium raises K+ ~0.5 mmol/L — avoid in established hyperkalaemia; use rocuronium with sugammadex plan if RSI needed.
• Day-of-surgery dialysis timing wrong → volume overload or severe hypovolaemia/hypokalaemia — coordinate with nephrology.