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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

226
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...
226
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

212
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...
212
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

104
Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
104
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

249
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...
249

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Related Experiment Video

Updated: Dec 18, 2025

Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation
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[The first kidney exchanges between two Scandinavian countries have been performed].

Tommy Andersson1, Lars Wennberg1, Per Lindnér2

  • 1.

Lakartidningen
|June 17, 2020
PubMed
Summary

The Scandinavian kidney exchange program STEP facilitated two successful cross-border transplants in 2019. This expansion demonstrates effective international collaboration for kidney donation and transplantation.

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Public Health Policy

Background:

  • Kidney exchange programs (KEPs) improve access to transplantation for incompatible donor-recipient pairs.
  • The Scandinavian Kidney Exchange Program (STEP) was previously established to facilitate domestic exchanges.
  • International expansion of KEPs presents logistical and ethical challenges.

Purpose of the Study:

  • To describe the Scandinavian expansion of the STEP kidney exchange program.
  • To report the outcomes of the first two international kidney exchanges conducted within Scandinavia.
  • To assess the feasibility and safety of cross-border kidney graft transportation and simultaneous/coordinated surgeries.

Main Methods:

  • Description of the STEP program's adaptation for international use between Scandinavian countries.
  • Details of the surgical procedures, including simultaneous and/or coordinated operations across different hospital sites.
  • Protocols for inter-unit kidney graft transportation and recipient/donor management.

Main Results:

  • Successful execution of two kidney exchanges between two Scandinavian countries in late 2019.
  • All four kidney recipients exhibited good and stable kidney function four weeks post-surgery.
  • All four kidney donors recovered well from their surgical procedures.

Conclusions:

  • The Scandinavian expansion of the STEP program is feasible and successful.
  • International kidney exchange programs can be safely and effectively implemented across borders.
  • Cross-border collaboration enhances organ availability and transplantation outcomes.