Download Anesthesia for Renal Transplantation by Gwendolyn B. Graybar (auth.), Gwendolyn B. Graybar M.D., PDF

By Gwendolyn B. Graybar (auth.), Gwendolyn B. Graybar M.D., Lois L. Bready M.D. (eds.)

This treatise commemorates the thirty second anniversary of the 1st profitable allogenic kidney transplant in a person and the start of a con­ tinuing problem for good over a iteration of anesthesiologists. If compari­ sons may be approved, this epoch-making occasion could be ranked with the 1st pulmonary lobectomy and for that reason the preliminary ligation of a patent ductus arteriosus within the overdue Nineteen Thirties while thoracic and cardiac surgical procedure all started. was once it simply a twist of fate that introduced those occasions to the fore so shut upon each other after decades of ideation and frustration? no longer so, in keeping with Lewis Thomas, for this was once the time of medicine's moment revolution-its transformation from an empirical paintings right into a powerfully powerful technological know-how. The distant Galenic belief of sickness with its emphasis on disturbed physique humors used to be approximately to be supplanted by way of potent therapeutics, as signified through the advent of the sulfonamides and antibiotics for the explicit therapy of an infection. Anesthesiology have been dormant as much as that period, nonetheless depending upon a couple of brokers, roughly applied from the start, and purveyed via a handful of experts who had now not but started to invite the medical questions useful for his or her maturation right into a bona fide self-discipline. in spite of the fact that, anesthesiology was once in­ evitably stuck within the ferment, for as Peter Caws saw, "It serves to re­ brain us that the improvement of technology is a step-wise strategy: not anyone begins from scratch and no-one will get very a long way prior to the rest.

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Payr E: Beitrage zur Technik der Blutgefass-und Nervennaht nebst Mittheilungen liber die Verwendung eines resorbirbaren Metalles in der Chirorgie. Arch Klin Chir 62:67, 1900. 10. : Retrospectroscope-who was Alexis Who? Am Rev Respir Dis 118:391, 1978. 11. ConverseJM: Alexis Carrel: the man, the unknown. Plast Reconstr Surg 68:629, 1981. 12. Malinin TI: Surgery and Life: The Extraordinary Career of Alexis Carrel. New York: Harcourt Brace Jovanovich, 1979. 13. Carrell A, Guthrie CC: Anastomosis of blood vessels by the patching method and transplantation of the kidney.

Other than malignancy, few disease states absolutely rule out transplantation. In the earliest days of transplantation, only patients whose kidney failure was not due to systemic disease were considered acceptable candidates. With experience, however, transplant centers have found that patients with systemic diseases such as diabetes [9] and lupus erythematosus [10] are managed well with renal transplantation. Many textbooks list primary oxalosis as a "rare" renal disease that should not be managed by transplantation but that has recently been challenged [11].

Ann Surg 52:83, 1910. 30. Carrel A: Experimental operations on the sigmoid valves of the pulmonary artery. J Exp Med 20:9, 1914. 31. Tuffier T, Carrel A: Patching and section of the pulmonary orifice of the heart. J Exp Med 20:1, 1914. 32. Carrel A: Results of the transplantation of blood vessels, organs and limbs. JAMA 51:1662, 1908. 33. Hardy JD: Transplantation of blood vessels, organs, and limbs. JAMA 250:954, 1983. 34. Najafi H: Dr. Alexis Carrel and tissue culture. JAMA 250:1086, 1983. 35.

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