https://scholars.lib.ntu.edu.tw/handle/123456789/637735
Title: | The role of transesophageal echocardiography in transplantation of an adult-sized kidney to a small child | Authors: | Lin, I-Hua CHIH-PENG LIN FENG-SHENG LIN Liu, Chih-Chung MING-HUI HUNG SHOU-ZEN FAN |
Keywords: | central venous pressure | echocardiography, transesophageal | kidney transplantation: pediatric | perioperative care: fluid management | Issue Date: | Dec-2012 | Journal Volume: | 50 | Journal Issue: | 4 | Source: | Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists | Abstract: | Transplantation of adult-sized kidneys to pediatric patients weighing less than 10 kg is a challenge to both surgical and anesthetic management. For survival of the graft, a large-size kidney graft transferred to a pediatric patient needs extraphysiological cardiac output to compensate for adequate renal blood flow. We report here a boy weighing 8.4 kg who received transplantation of a kidney donated by his 56.4-kg mother. Since monitoring of the central venous pressure was not accurate enough and Swan-Ganz catheterization was not feasible in this patient for monitoring the fluid status and cardiac function, we used transesophageal echocardiography to guide intravascular volume expansion and to titrate inotropic support during the surgery. It was demonstrated to be a useful tool for optimization of renal perfusion in this scenario. The transplanted graft served its function well. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/637735 | ISSN: | 18754597 | DOI: | 10.1016/j.aat.2012.11.003 |
Appears in Collections: | 醫學系 |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.