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Related Concept Videos

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 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 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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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

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Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
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Kidney Structure01:45

Kidney Structure

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The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
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Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

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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...
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Updated: Oct 13, 2025

Microdissection of Primary Renal Tissue Segments and Incorporation with Novel Scaffold-free Construct Technology
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Dissolving Disincentives to Living Kidney Donation.

Jean Colaneri1,2,3,4, Roberta Billman5,6, Jennifer Branch7,8

  • 1Nurse Practitioner/Nurse Clinician Adult and Pediatric Dialysis, Albany Medical Center Hospital, Albany, NY.

Nephrology Nursing Journal : Journal of the American Nephrology Nurses' Association
|November 10, 2021
PubMed
Summary
This summary is machine-generated.

Living kidney donation is increasing but still insufficient to meet demand. To boost donor numbers, experts suggest covering all donor expenses and improving education on donation options and risks.

Keywords:
disincentivesfinancial incentivesliving kidney donation

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Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation
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Area of Science:

  • Nephrology
  • Transplantation Surgery
  • Public Health Policy

Background:

  • Living donor kidney transplantation has seen record numbers, with a 24% increase from 2014-2019.
  • Despite this growth, the demand for kidneys significantly outpaces the supply, leading to a growing waiting list.
  • Barriers and disincentives continue to limit the number of living kidney donors.

Purpose of the Study:

  • To identify and propose innovative solutions to overcome disincentives for living kidney donation.
  • To advocate for policy changes and improved donor education to increase the number of living kidney donors.
  • To address the gap between kidney transplant demand and supply through enhanced donor recruitment strategies.

Main Methods:

  • Reviewing current barriers and disincentives to living kidney donation.
  • Proposing legislative and regulatory changes to reimburse donors for all donation-related expenses.
  • Recommending comprehensive donor education on various donation pathways (directed, non-directed, paired exchange, remote, advanced) and transplant center programs (e.g., National Kidney Registry Donor Shield).
  • Emphasizing the importance of educating donors on personal risks and dispelling misinformation.

Main Results:

  • A record 6,867 living donor kidney transplants were performed in 2019.
  • A 24% increase in living donor kidney transplants was observed between 2014 and 2019.
  • Despite increases, the supply of living donors remains insufficient to meet the rising demand for kidney transplants.

Conclusions:

  • Innovative solutions are crucial to increase living kidney donation rates.
  • Reimbursing donors for all expenses and providing comprehensive education on donation options and risks are key strategies.
  • A standardized national approach is needed to address state-level variability in work leave and financial incentives for living donation.