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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Related Experiment Video

Updated: Mar 28, 2026

Intraportal Transplantation of Pancreatic Islets in Mouse Model
09:01

Intraportal Transplantation of Pancreatic Islets in Mouse Model

Published on: May 5, 2018

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Intestinal transplantation: The anesthesia perspective.

Aparna Dalal1

  • 1Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, 1428 Madison Avenue, New York, NY 10029, United States.

Transplantation Reviews (Orlando, Fla.)
|December 20, 2015
PubMed
Summary
This summary is machine-generated.

Intestinal transplantation offers a life-saving solution for intestinal failure, particularly when parenteral nutrition fails or liver disease develops. Careful management of recipients and grafts is crucial for successful outcomes.

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Area of Science:

  • Abdominal Surgery
  • Transplantation Medicine
  • Gastroenterology

Background:

  • Intestinal failure necessitates complex management, with parenteral nutrition posing risks like liver disease (IFALD).
  • Patients with IFALD face high mortality rates on transplant waiting lists.
  • Intestinal transplantation, including living donor options, presents a viable treatment strategy.

Purpose of the Study:

  • To review the complexities and considerations of intestinal transplantation.
  • To highlight anesthetic challenges and management strategies for recipients and donors.
  • To emphasize the importance of graft and recipient care post-transplantation.

Main Methods:

  • Review of current literature and data (e.g., UNOS, OPTN).
  • Discussion of surgical techniques and donor criteria.
  • Exploration of perioperative management, including anesthesia and monitoring.

Main Results:

  • Living donor intestinal transplantation offers advantages like reduced ischemia time.
  • Recipient management involves addressing thrombosis, fluid shifts, and potential complications.
  • Anesthetic considerations include asepsis, drug interactions, and venous access.

Conclusions:

  • Intestinal transplantation is a critical option for select patients with intestinal failure.
  • Multidisciplinary management is essential for optimizing outcomes.
  • Anesthesia management requires specialized attention to patient factors and potential complications.