REGIONAL ANAESTHESIA - ANAESTHESIA OF CHOICE IN CHRONIC KIDNEY DISEASE

Laparoscopic surgery has obvious advantage over open surgery in being less painful, reduced hospital stay and earlier return to normal activities of daily living. Chronic kidney disease is one of the common complications of long standing uncontrolled hypertension and diabetes mellitus. General anesthesia is preferred in both these situations. We report an interesting case where we used epidural anesthesia for a patient with chronic kidney disease posted for laparoscopic cholecystectomy who had previously undergone laparoscopic appendicectomy under general anesthesia necessitating hemodialysis in the immediate post-operative period.