Pancreas-Kidney Transplantation for Intensivists: Perioperative Care and Complications
| Autor: | Alfredo J. Fabrega, Raymond Pollak, Pedro A. Rivas |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Disease Pancreas transplantation Critical Care and Intensive Care Medicine Postoperative Complications Intensive care Diabetes mellitus medicine Humans Diabetic Nephropathies Intensive care medicine Kidney transplantation Postoperative Care Kidney Intraoperative Care business.industry Patient Selection Organ Preservation Middle Aged medicine.disease Kidney Transplantation Tissue Donors Surgery Pancreas kidney transplantation Transplantation Diabetes Mellitus Type 1 medicine.anatomical_structure Pancreas Transplantation business |
| Zdroj: | Journal of Intensive Care Medicine. 9:281-289 |
| ISSN: | 1525-1489 0885-0666 |
| DOI: | 10.1177/088506669400900603 |
| Popis: | Simultaneous pancreas-kidney transplantation is a therapeutic option for type I diabetics with end-stage renal disease. It aims to correct the uremic state, to normalize glucose hemeostasis, and to ameliorate diabetic complications. Careful donor-recipient selection and meticulous intra-operative and postoperative care will substantially impact recipient morbidity. An understanding of the technical aspects of the surgical procedure and its metabolic and immunological consequences is necessary to successfully manage a pancreas-kidney transplant recipient, many of whom are nursed in intensive care units. A successful outcome is predicted in early recognition of technical complications and aggressive management of rejection to achieve the current 1-year graft survival rates of 75% for pancreas transplants and 84% for kidney transplants. |
| Databáze: | OpenAIRE |
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