Abstract

Aim: Renal transplantation is one of the important treatment modalities in patients with end-stage renal failure and improves the quality of life. The aim of the present study is to determine the important issues of the anesthetic management in renal transplantation.

Material and Methods: We evaluated 33 patients who underwent renal transplantation due to end-stage renal failure at Turgut Ozal Medical Center in 2012. The patients’ characteristics and medical records were collected.

Results: The mean age of the patients was 33.6±14.4 years. Nine (27%) kidneys from cadavers and 24 (73%) kidneys from a living donor were obtained for transplantation. Difficult intubation was observed in 2 patients (6%). The anesthesia duration was 216±64 minutes, warm ischemia time was 158±110 seconds, and total ischemia time was 450±178 minutes. Desflurane was used in 15 patients (45%), and isoflurane was used in 18 of patients (55%) during the anesthesia. Central venous catheterization was performed in 23 patients (70%), and catheterization for dialysis was performed. During the operation, total administrated dose of mannitol was 125±20 mg and furosemid dose was 87±68 mg. Red blood cell suspension was required in 4 patients during surgery. Intraoperative anesthesia-related complications were not observed. Duration of hospital stay was 6.6±3.8 days. One patient died due to non-transplant complications.

Conclusion: In renal transplantation, detailed preoperative preparation, appropriate fluid and hemodynamic management should be performed.

Key Words: Renal Transplantation; Anesthesia Management.