Fabes, J;
Wittenberg, M;
Motallebzadeh, R;
(2022)
Anaesthetic considerations and post-operative care of living kidney donors.
In: Lipkin, G and Sharif, A, (eds.)
Living Kidney Donation - A Practical Guide.
(pp. 187-204).
Springer, Cham
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Abstract
Book cover Living Kidney Donation pp 187–204Cite as Anaesthetic Considerations and Post-operative Care of Living Kidney Donors Marc Wittenberg, Jez Fabes & Reza Motallebzadeh Chapter First Online: 12 November 2022 24 Accesses Abstract Patients undergoing surgery (donor nephrectomy) that will not result in their direct benefit represent a unique set of challenges to anaesthetic and surgical teams. Emphasis needs to be placed on coordinated multidisciplinary activities in order to achieve an optimal outcome for both donor and recipient, balanced with an absolute minimum of adverse events. This coordinated effort involves extensive preoperative patient evaluation as well as provision of an appropriate balanced anaesthetic and high quality post-operative care. Key areas include careful patient positioning, preservation of haemodynamic stability, protection of renal function, prevention of post-operative surgical-site infections and thromboembolic complications, and administration of effective peri- and post-operative analgesia. In this chapter, our aim is for the reader to gain an understanding of all these elements to ensure live-donor patients benefit from a rapid and safe recovery from surgery. The progressive introduction of robotic techniques is likely to further develop this surgery and introduce a number of additional considerations for the anaesthetist and these are highlighted throughout. Surgical and anaesthetic principles and approaches are rapidly evolving in this field and key literature and evidence is provided in each section, where available, to support clinical practice.
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