Anesthesiological management in renal transplantation Part II. Receptor postoperative care.
DOI:
https://doi.org/10.30445/rear.v14i3.994Keywords:
Renal transplantation, Kidney transplantation, Postoperative care, Postoperative management, Organ solid receptor, Intensive care, AnesthesiaAbstract
Postoperative care of renal transplant recipient should be done in Intensive Care Units or specialized units. Immediate postoperative goals are to ensure hemodynamic stability in order to preserve perfusion and optimize graft function, reverse hypothermia, monitor fluid therapy, manage postoperative pain, and adjust immunosuppressive therapy. Urinary output monitoring during the immediate postoperative period is essential, since the immediate start of urine production is a predictor of a good prognosis for the graft and the patient.
Graft function in the immediate postoperative period is influenced by a combination of donor, recipient, and intraoperative factors. Surgical complications development appears to decrease graft survival, so diagnosis and treatment it early are important. The objective of the present review is to describe the most important aspects of management within the immediate postoperative period of renal transplantation.
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