Role of Intraoperative Hemodynamic Factors with Respect to Graft Functioning in Renal Transplant Recipients and Current Trends in Perioperative Hemodynamic Management

R. Vijayakumar, S. Dharwadkar, A. Batta, C. Doshi
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Abstract

Renal transplantation as Renal Replacement gives a better quality of life, cost effective and possibly prolonged survival. [4]. A Delayed graft function (DGF) has been related to decreased graft survival, poor long term function and also high chance of acute rejection. The need of the hour is proper preoperative hemodynamic management leading to prevention of complications like graft rejection. These factors prompted us to study the early graft function characteristics with respect to intraopertive hemodynamics considering these being an important preoperative means to improve early graft function, by preserving an adequate intravascular volume [5, 6]
术中血流动力学因素对肾移植受者移植物功能的影响及围手术期血流动力学管理的最新趋势
肾脏移植作为肾脏替代提供了更好的生活质量,成本效益和可能延长生存。[4]。移植物功能延迟(DGF)与移植物存活率降低、长期功能差以及急性排斥反应的高发生率有关。当务之急是术前适当的血流动力学管理,防止移植排斥等并发症的发生。这些因素促使我们从术中血流动力学的角度研究早期移植物功能特征,认为通过保持足够的血管内容量,这是改善早期移植物功能的重要术前手段[5,6]。
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