Difference between revisions of "Kidney transplant"
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Chetra Yean (talk | contribs) (Created page with "{{Infobox surgical case reference | anesthesia_type = | airway = | lines_access = | monitors = | considerations_preoperative = | considerations_intraoperative = | consid...") |
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{{Infobox surgical case reference | {{Infobox surgical case reference | ||
| anesthesia_type = | | anesthesia_type = General | ||
| airway = | | airway = ETT | ||
| lines_access = | | lines_access = PIV x2, arterial line | ||
| monitors = | | monitors = Standard, 5-lead ECG | ||
| considerations_preoperative = | | considerations_preoperative = ESRD patients should have potassium checked preop | ||
| considerations_intraoperative = | | considerations_intraoperative = Mannitol, lasix, and heparin should be prepared, intraop immunosuppression should be running before reperfusion, potassium free IVF should be used | ||
| considerations_postoperative = | | considerations_postoperative = Replace UOP with IVF, may have delayed graft function if increased cold storage time | ||
}} | }} | ||
Kidney transplantation provides patients with ESRD an opportunity to continue living without the need for frequent dialysis. Kidney transplants can either be from a deceased donor (aka cadaveric) or from a living donor, at times genetically related to the patient (aka living related), but not always (aka living-unrelated). | |||
== Preoperative management == | == Preoperative management == | ||
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=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> === | === Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> === | ||
After induction of anesthesia, a 3-way foley catheter is placed into the bladder. | |||
=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> === | === Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> === | ||
Revision as of 13:34, 21 June 2021
Kidney transplant
| Anesthesia type |
General |
|---|---|
| Airway |
ETT |
| Lines and access |
PIV x2, arterial line |
| Monitors |
Standard, 5-lead ECG |
| Primary anesthetic considerations | |
| Preoperative |
ESRD patients should have potassium checked preop |
| Intraoperative |
Mannitol, lasix, and heparin should be prepared, intraop immunosuppression should be running before reperfusion, potassium free IVF should be used |
| Postoperative |
Replace UOP with IVF, may have delayed graft function if increased cold storage time |
| Article quality | |
| Editor rating | |
| User likes | 2 |
Kidney transplantation provides patients with ESRD an opportunity to continue living without the need for frequent dialysis. Kidney transplants can either be from a deceased donor (aka cadaveric) or from a living donor, at times genetically related to the patient (aka living related), but not always (aka living-unrelated).
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Respiratory | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
After induction of anesthesia, a 3-way foley catheter is placed into the bladder.
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |