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Chapter 29 - Renal Transplantation

Published online by Cambridge University Press:  30 November 2019

Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter provides a complex review of pediatric renal transplantation. The author discusses the multitude of considerations relevant to patients with chronic kidney disease (e.g. cardiovascular, endocrinologic, hematologic, bone and mineralization homeostasis). The perioperative evaluation is presented in detail in addition to the renal transplant specific anesthetic considerations.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Kraut, JA, Madias, NE. Metabolic acidosis of CKD: an update. Am J Kidney Dis. 2016;67(2):307–17. PMID: 26477665.CrossRefGoogle ScholarPubMed
McDonald, SP, Craig, JC; Australian and New Zealand Paediatric Nephrology Association. Long-term survival of children with end-stage renal disease. N Engl J Med. 2004;350(26):2654–62. PMID: 15215481.CrossRefGoogle ScholarPubMed
Warady, BA, Chadha, V. Chronic kidney disease in children: the global perspective. Pediatr Nephrol. 2007;22(12):19992009. PMID: 17310363.CrossRefGoogle ScholarPubMed
Roshanov, PS, Rochwerg, B, Patel, A, et al. Withholding versus continuing angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers before noncardiac surgery: an analysis of the vascular events in noncardiac surgery patients cohort evaluation prospective cohort. Anesthesiology. 2017;126(1):1627. PMID: 27775997.CrossRefGoogle ScholarPubMed
Potura, E, Lindner, G, Biesenbach, P, et al. An acetate-buffered balanced crystalloid versus 0.9% saline in patients with end-stage renal disease undergoing cadaveric renal transplantation: a prospective randomized controlled trial. Anesth Analg. 2015;120(1):123–9. PMID: 25185593.CrossRefGoogle ScholarPubMed
Taylor, K, Kim, WT, Maharramova, M, et al. Intraoperative management and early postoperative outcomes of pediatric renal transplants. Paediatr Anaesth. 2016;26(10):987–91. PMID: 27535492.CrossRefGoogle ScholarPubMed

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