ANESTHESIA FOR RENAL TRANSPLANT SURGERY IN ADULTS

  • Wallace Andrino Silva Hospital Universitário Onofre Lopes
  • Aline Macêdo Pinheiro Hospital Universitário Onofre Lopes
  • Cipriano Correia Junior Hospital Universitário Onofre Lopes
  • Paulo Henrique Lima Hospital Universitário Onofre Lopes
  • Kellen Micheline Alves Henrique Costa Hospital Universitário Onofre Lopes
  • José Hipólito Dantas Júnior Hospital Universitário Onofre Lopes
  • Paulo José Medeiros
Keywords: Renal transplantation, anesthesia, fluid management.

Abstract

Renal transplant surgery may be associated with important perioperative complications. In this scenario, the anesthetic technique should provide optimal conditions for the surgical team, guarantee hemodynamic stability and kidney perfusion, and adequate analgesia. Preoperative evaluation should always be performed. In the intraoperative period, standard monitoring is sufficient in most cases. General balanced anesthesia, alone or in combination with spinal anesthesia or peripheral block, is the technique of choice. Management of blood pressure during the surgery is crucial. Before reperfusion, a mean arterial blood pressure of 65 mmHg is recommended, increasing to 80–90 mmHg when reperfusion is imminent until the end of surgery. Vasopressors, such as ephedrine, may be necessary to achieve blood pressure targets. Mannitol and furosemide are commonly used to increase urine output. In the postoperative period, analgesia should be ensured.

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Published
18-12-2020
How to Cite
SILVA, W. A.; MACÊDO PINHEIRO, A.; CORREIA JUNIOR, C.; HENRIQUE LIMA, P.; ALVES HENRIQUE COSTA, K. M.; DANTAS JÚNIOR, J. H.; MEDEIROS, P. J. ANESTHESIA FOR RENAL TRANSPLANT SURGERY IN ADULTS . JOURNAL OF SURGICAL AND CLINICAL RESEARCH, v. 11, n. 2, p. 128-134, 18 Dec. 2020.
Section
REVIEW