Difference between revisions of "Kidney transplant"

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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
}}
}}


Provide a brief summary of this surgical procedure and its indications here.
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 14:34, 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
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

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

References