Kidney transplant

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	Comprehensive
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

Intraoperative management

Monitoring and access

After induction of anesthesia, a 3-way foley catheter is placed into the bladder.

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications