GOAL-DIRECTED HEMODYNAMIC MANAGEMENT IN KIDNEY TRANSPLANT SURGERY: CASE SERIES REPORT

Lê Văn Dũng1, , Minh Hoàng Thạch1
1 Bệnh viện Chợ Rẫy

Main Article Content

Abstract

Objective: This study aims to document anesthesia outcomes in patients with high cardiovascular risk who are undergoing kidney transplant surgery. 


Method: Eight patients at high cardiovascular risk underwent anesthesia at Cho Ray Hospital for kidney transplant surgery between May 2023 and June 2024. Data was collected before therapy, during surgery, and for at least six months following hospital release. Clinical results and laboratory data were used for follow-up. 


Results: All 8 patients underwent successful surgery. The patients were given targeted fluid therapy, and hemodynamic parameters were kept stable by applying goal-directed therapy using PiCCO and Flotrac methods. There were no cases of complications during or after the surgery. The patients were discharged on the 6th day post-surgery. Six months after the transplant, the transplanted kidneys are functioning normally. 


Conclusions: High-risk kidney transplant patients need to have their hemodynamics managed using PiCCO or Flotrac methods to guide targeted interventions. By optimizing hemodynamic management during kidney transplant surgery, we hope to improve the outcomes for kidney transplant patients.

Article Details

References

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