This review provides an update on anaesthesia and perioperative management for renal transplant surgery to optimize therapy and improve patient outcomes.
May inform renal transplant anaesthesia decisions; extends prior syntheses but leaves optimal protocols open for prospective validation.
Although the overall outcome of patients undergoing renal transplant surgery has improved in recent years, delayed graft function and myocardial infarction remain common and severe postoperative complications. This review article provides an update on anaesthesia for renal transplant surgery in order to optimise perioperative therapy and improve the outcome of these patients. In particular, the characteristics of this high-risk population and the recommendations for preoperative 'work-up' are summarised. Care for the living donor, commonly used drugs and their potential nephrotoxic properties are discussed. Finally, the current knowledge about volume therapy, optimised haemodynamic management and postoperative care is described.
No takes yet. Share an insight, caveat, or question.
Schmid et al. (2012) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: