Marieke Voet, A. Nusmeier, J. Lerou, J. Luijten, M. Cornelissen, J. Lemson
{"title":"Cardiac output‐guided hemodynamic therapy for adult living donor kidney transplantation in children under 20 kg: A pilot study","authors":"Marieke Voet, A. Nusmeier, J. Lerou, J. Luijten, M. Cornelissen, J. Lemson","doi":"10.1111/pan.13705","DOIUrl":null,"url":null,"abstract":"A living‐donor (adult) kidney transplantation in young children requires an increased cardiac output to maintain adequate perfusion of the relatively large kidney. To achieve this, protocols commonly advise liberal fluid administration guided by high target central venous pressure. Such therapy may lead to good renal outcomes, but the risk of tissue edema is substantial.","PeriodicalId":281130,"journal":{"name":"Paediatric anaesthesia","volume":"9 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"8","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Paediatric anaesthesia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1111/pan.13705","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 8
Abstract
A living‐donor (adult) kidney transplantation in young children requires an increased cardiac output to maintain adequate perfusion of the relatively large kidney. To achieve this, protocols commonly advise liberal fluid administration guided by high target central venous pressure. Such therapy may lead to good renal outcomes, but the risk of tissue edema is substantial.