Perioperative anesthetic management for laparoscopic kidney donation
Autor: | M Pieri, Giandomenico Luigi Biancofiore, L Meacci, Andrea Pietrabissa, Ugo Boggi, Franco Mosca, G. Amorose, C Pasquini, L Bindi, D Lugli, G Bellissima, Fabio Vistoli, Massimo Esposito, N Fossati |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2004 |
Předmět: |
medicine.medical_specialty
Urinary system medicine.medical_treatment Nephrectomy law.invention law Intravascular volume status Living Donors Medicine Humans Anesthesia Laparoscopy Retrospective Studies Transplantation Analgesics Intraoperative Care medicine.diagnostic_test business.industry Postoperative complication Perioperative Intensive care unit Surgery business |
Popis: | Objectives. To report a single-center experience about the perioperative and anesthetic management of laparoscopic living kidney donation. Patients and interventions. Subjects undergoing laparoscopic (n = 39) (performed between April 2000 and August 2002) and traditional open kidney donation (n = 27) received a standard balanced anesthetic technique. However to counterbalance the reported abdominal insufflation-related kidney dysfunction, laparoscopic donors were administered an extra intravascular volume loading with colloid and crystalloid starting on the night before surgery. Results. Laparoscopic donors underwent longer procedures with lower estimated blood losses (P = .0001), were intraoperatively administered higher amounts of intravenous fluids (P |
Databáze: | OpenAIRE |
Externí odkaz: |