S. SuksompongU. PrakanrattanaS. SriyoschatiMahidol University2018-09-072018-09-072001-10-25Journal of the Medical Association of Thailand. Vol.84, No.5 (2001), 745-750012522082-s2.0-0034787146https://repository.li.mahidol.ac.th/handle/20.500.14594/26685We reported our own experience in four patients with chronic renal failure on maintenance hemodialysis undergoing coronary artery bypass graft surgery (CABGS). A balanced general anesthesia with endotracheal intubation was successfully achieved by using midazolam, atracurium, fentanyl, pentothal, nitrous oxide in oxygen and isoflurane. All patients were hemodialyzed within 24 hours before operation. One patient started peritoneal dialysis 10 hours after surgery. Three other patients were managed by hemodialysis the day after surgery. There was no hospital mortality. Many aspects of management of these patients which differ from those of routine cardiac surgical patients are outlined and discussed.Mahidol UniversityMedicineArticleSCOPUS