R134 can be retrofitted to most automobiles, and I imagine most refrigerators will follow the same upgrade path. The problem with R134 is that it will not circulate the mineral oil that is used to lubricate the system when it used R12. Because of this, two new synthetic oils were developed...PAG and Ester oils that will circulate with R134. The problem is that for best performance, you gotta get all the old mineral oil out of the system. In an automobile, this can be relatively easy in some cars because the system disassembles easily by detaching all the hoses, but can sometimes be hard because cars can have refrigeration parts installed in some obscure places. There are chemicals avaliable at most HVAC supply shops that resembles brake part cleaners that will flush out all the old oil.
Once all the old mineral oil is out, you can start putting the new oil back in. Now, first a few things about the new oils... They are hydroscopic, meaning, they will absorb water. Water and air conditioners don't work well together. It will freeze in the lines and the system will quit working when the refrigerant cannot flow. The best way to add oil is to buy it in combination with the refrigerant in the pressurized. That way it won't absorb water while it's sitting in the lines waiting for you to re-assemble everything else (no matter how fast you assemble them, it will still suck up moisture) Another thing...make sure you remember what type of oil you installed in the system. When the oils mix, they turn into a nasty gummy mess that is impossible to remove from the system!
Now, for recharging, after flushing out all the old oil and cleaning things out, you will want to vacuum out the system with a vacuum pump. This will also remove moisture because when you lower the pressure, the water will boil off. It is important to get the pressure low enough that the water will boil off at the ambient temperature. Also, in an automobile, they use a receiver/dryer with a dessicant in them. In household refrigerators. I'm not sure if a dessicant can be installed in an appliance or not.
Once the system is vacuumed down for over an hour or so it is good to go for adding the new R134 refrigerant. After you seal it all off, you're ready to run it!
Now, those R134 "retrofit" kits can sometimes be good and bad. Yes, they work, but not all that good. They come with a can of R134, oil charge, a chemical dessicant, and sometimes a leak sealant. Again, the problem is that you need to get out the mineral oil before the system will perform. Most R134 retrofit kits have some sort of chemical neutralizer that just simply makes the old mineral oil settle to the bottom of the coils where it won't cause a poblem. The issue with this is that it now consumes surface area that could be used for heat transfer, thus the unit works less effectively. If you flush the system out, the R134 retrofit kits are great becasue they provide you with everything you need to get a refrigeration system working good again...it's just that there is a bit more involved than just a $50 kit. If you do the labor yourself then there's no more cost, but having a HVAC shop do this, at least in a car, will cost about $200-$300.