Perioperative management of blood pressure in living donor kidney transplantation

Authors : İlknur Hatice AKBUDAK, Utku OZGEN, Aslı METE, Mevlüt ÇERİ

Pages : 728-734

Doi:10.31362/patd.1358929

View : 40 | Download : 48

Publication Date : 2023-10-01

Article Type : Research Paper

Abstract :Purpose: Delayed graft function insert ignore into journalissuearticles values(DGF); is a poor clinical prognostic factor in kidney transplantation insert ignore into journalissuearticles values(KT); which frequently occurs due to acute kidney injury insert ignore into journalissuearticles values(AKI); within the postoperative first week. In the present study, we researched the effect of SBP insert ignore into journalissuearticles values(Systolic Blood Pressure); on early graft function after reperfusion in living-donor kidney transplantation. Materials and methods: We retrospectively obtained preoperative patient clinical data from anesthesia follow-up forms. The research data included demographic data, laboratory data, medical past and kidney-related information. SBP, central venous pressure [CVP], anesthesia duration, infusion and transfusion volumes, blood loss and urine output, surgery duration, ischemia duration and onset of graft diuresis were used as intraoperative data. Results: There was no significant difference between 4 different systolic blood pressure categories assigned after reperfusion of the kidney in terms of the related characteristics of the recipients. There were significant differences between the 4 groups categorized according to SBP after reperfusion in terms of the related in with intraoperative anesthetic and surgucal variable insert ignore into journalissuearticles values(p<.001);. Conclusion: Systolic blood pressure over 140 mm Hg after reperfusion may be a safe level regarding long-term graft survival and mortality. It is needed to research the long-term prognosis of living donor kidney transplantation in larger study population to confirm the outcomes of our study.
Keywords : Kan basıncı, böbrek nakli, perioperatif yönetim