Renal Transplant
Airway: Access: Pain: Position: Time: Blood loss: Special:
Transplant of cadaveric or living-related kidney, in order to:
- Separate from dialysis
- Improve life expectancy
- Improve quality of life
Patients have ESRD and are usually:
- Younger
- Dialysis dependent
Considerations
Highly variable approach between institutions; which often will have their own (highly prescriptive) protocol
- A
- Often poorly fasted
- Not elective
- ↓ gastric emptying
- Uraemia
- Anxiety
- Often poorly fasted
- C
- Volume status
- Dry weight
- Last dialysis
- CVC
- Arterial line
Often institution dependent. - Fistula location
- Volume status
- G
- Gastroparesis
- H
- Anaemia