In:
Journal of Medical Science & Research, Holy Family Red Crescent Medical College, Vol. 26, No. Number 1 ( 2017-1-1), p. 27-33
Abstract:
The appropriate anesthesia for renal transplantation requires minimal toxicity for the patients and for the transplanted organ. General anesthesia is the most popular technique for renal transplantation. The use of regional anesthesia in chronic renal failure patients is still controversial but promising. The study was done to find impact of anesthetic management in term of outcome of graft function considering existent disease, hemodynamic status and infra- operative or early post - operative complications. Total fifty (50) Patient's records from 2010 to 2016 were revived retrospectively. Same anesthesia team as well as same surgical team performed all transplantation and surgical technique was the same for all patients either general or regional anesthesia. General anesthesia was performed in 88% of patients and for the rest of them, spinal, epidural and combined spinal and epidural was done. The age of the patients was in the range of 18 - 57years and a mean age of 35±16 years. The mean of surgery duration was 2.5 ± 1.2 hours. 88% of the patients had good early renal graft function and the serum creatinine level decreased in the first 3 postoperative days. Overall optimization of the patients other co morbidities in the preoperative period, close intraoperative monitoring and optimization of fluid status and haemodynamics as well as appropriate use of anesthetic agents are key to kidney transplantation success.
Type of Medium:
Online Resource
ISSN:
1810-6749
DOI:
10.47648/jmsr.2017.v2601
DOI:
10.47648/jmsr.2017.v2601.05
Language:
English
Publisher:
Holy Family Red Crescent Medical College
Publication Date:
2017
