Perioperative anesthesia care for the pediatric patient undergoing a kidney transplantation: An educational review.
Marieke VoetElisabeth A M CornelissenMichel F P van der JagtJoris LemsonIgnacio MalagonPublished in: Paediatric anaesthesia (2021)
Living-donor kidney transplantation is the first choice therapy for children with end-stage renal disease and shows good long-term outcome. Etiology of renal failure, co-morbidities, and hemodynamic effects, due to donor-recipient size mismatch, differs significantly from those in adult patients. Despite the complexities related to both patient and surgery, there is a lack of evidence-based anesthesia guidelines for pediatric kidney transplantation. This educational review summarizes the pathophysiological changes to consider and suggests recommendations for perioperative anesthesia care, based on recent research papers.
Keyphrases
- kidney transplantation
- end stage renal disease
- chronic kidney disease
- peritoneal dialysis
- healthcare
- palliative care
- patients undergoing
- cardiac surgery
- quality improvement
- minimally invasive
- clinical practice
- coronary artery bypass
- affordable care act
- case report
- pain management
- acute kidney injury
- atrial fibrillation
- acute coronary syndrome
- surgical site infection
- drug induced