Perioperative anesthesia care for the pediatric patient undergoing a kidney transplantation: An educational review. Issue 11 (20th August 2021)

• Record Type: Journal Article
• Authors: Voet, Marieke; Cornelissen, Elisabeth A. M.; van der Jagt, Michel F. P.; Lemson, Joris; Malagon, Ignacio
• Editors: Engelhardt, Thomas
• Is Part Of: Paediatric anaesthesia. Volume 31:Issue 11(2021)
• Page Start: 1150
• Page End: 1160
• Publication Date: 2021-08-20
• Subjects: child -- cristalloid solutions -- critical care -- education -- equipment -- fluids -- general anesthesia -- invasive -- kidney transplantation -- monitors -- PICU -- renal -- young age; Pediatric anesthesia -- Periodicals; 617.96798
• DOI: 10.1111/pan.14271
• Languages: English
• ISSNs: 1155-5645

Abstract

Abstract: Living‐donor kidney transplantation is the first choice therapy for children with end‐stage renal disease and shows good long‐term outcome. Etiology of renal failure, co‐morbidities, and hemodynamic effects, due to donor‐recipient size mismatch, differs significantly from those in adult patients. Despite the complexities related to both patient and surgery, there is a lack of evidence‐based anesthesia guidelines for pediatric kidney transplantation. This educational review summarizes the pathophysiological changes to consider and suggests recommendations for perioperative anesthesia care, based on recent research papers.