This course gives you a practical, anesthesia-focused roadmap for caring for patients with impaired kidneys—from new-onset AKI to long-standing CKD and dialysis-dependent ESRD. You’ll learn how to perform a targeted preoperative renal assessment, choose and dose anesthetic and analgesic agents safely, and adjust neuromuscular blockers and reversal strategies to avoid prolonged blockade, electrolyte disasters, and hemodynamic instability in this high-risk population.