Nephrectomy
Airway: Access: Pain: Position: Time: Blood loss: Special:
Nephrectomy may be:
- Radical nephrectomy
- Usually for renal carcinoma
- M:F 2:1
- Urban > rural
- IVC involvement in ~5% of patients
- Usually for renal carcinoma
- Simple nephrectomy
- Multiple indications:
- Non-functioning obstructed kidney
- Polycystic kidney
- Uncontrollable renal hypertension
- Transplant donation
- Multiple indications:
Considerations
- B
- Pneumothorax
- C
- Arterial line and CVP
- Consider TOE
- Haemorrhage
- IVC
- Thromboembolism
- Renal perfusion to remaining kidney
- D
- Consideration of epidural