A report of three cases of anesthesia in patients undergoing simultaneous kidney-pancreas transplantation

BACKGROUND AND OBJECTIVE: Induction of anesthesia and surgery lead to metabolic changes and make it difficult for diabetic patients to control their blood sugar. Complications of kidney failure may also affect the management of anesthesia in these people. The present study was conducted to report three cases of anesthesia in patients undergoing simultaneous kidney-pancreas transplantation. CASE REPORTS: The first patient was a 33-year-old woman, the second patient was a 28-year-old woman, and the third patient was a 27-year-old woman, all of whom had diabetes mellitus and diabetic nephropathy and were under hemodialysis treatment. All patients underwent general anesthesia. Drugs used for anesthesia included midazolam, fentanyl, cisatracurium, and propofol. All patients underwent simultaneous kidney-pancreas transplantation. Postoperative condition of transplanted patients was favorable and they are still under the supervision of a physician. CONCLUSION: Based on the results of this study, good management of anesthesia and the use of appropriate anesthetic drugs and control of hemodynamic conditions and pain management can improve the outcome of kidney-pancreas transplantation