Yıl: 2021 Cilt: 16 Sayı: 2 Sayfa Aralığı: 178 - 183 Metin Dili: İngilizce DOI: 10.33719/yud.2021;16-2-850725 İndeks Tarihi: 15-08-2022

Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations

Öz:
Objective: There are many studies on kidney transplant anesthesia, there is not enough data in the literature in terms of intraoperative param- eters according to the donor type. In this study, we aimed to compare the intraoperative hemo- dynamic parameters in adult patients who un- derwent living-donor and deceased-donor kidney transplantation (KT). Material and Methods: The patients who underwent KT were divided into 2 groups ac- cording to the donor kidney type. Recipients who underwent deceased donor transplantation were included in the study as Group 1. Among the liv- ing donor kidney transplant recipients, the same number of patients with similar demographic data as Group 1 were designated as Group 2. Both groups were compared in terms of recorded data and intraoperative hemodynamic parameters. Results: Twenty-four patients were included in the study. The mean durations of dialysis were 81.6 ± 64.8 and 16.8 ± 17.4 months for Group 1 and Group 2, respectively (p = 0.001). The mean cold ischemia time was significantly longer in Group 1 than Group 2 (p = 0.001). The mean op- erative urine output for Group 1 and Group 2 were 87.3 ± 149.6 and 634.2 ± 534.5, respectively (p = 0.002). Mean arterial pressure, heart rate, periph- eral oxygen saturation and CVP values were all comparable between the two groups. Conclusion: Cold ischemia time is longer and operative urine volume is lower in deceased donor transplants compared to living donor transplants. With good preoperative preparation, close intra- operative follow-up, and proper fluid management, similar intra- operative hemodynamic parameters are achieved in both types of donor recipients.
Anahtar Kelime:

Erişkin canlı donör ve kadavra donör böbrek nakillerinde alıcıların intraoperatif hemodinamik parametrelerinin karşılaştırılması

Öz:
Amaç: Böbrek nakli anestezisi ile ilgili çok sayıda çalışma yapılmıştır ancak verici tipine göre intraoperatif parametreler açısından literatürde yeterli veri bulunmamaktadır. Bu çalışmada canlı donör ve kadavra donör böbrek nakli (BN) yapı- lan erişkin hastalarda intraoperatif hemodinamik parametreleri karşılaştırmayı amaçladık. Gereç ve Yöntemler: BN yapılan hastalar verici böbrek tipine göre 2 gruba ayrıldı. Kadavra donör nakli yapılan alıcılar Grup 1 olarak çalış- maya dahil edildi. Canlı verici böbrek nakli ya- pılanlar arasında, Grup 1 ile benzer demografik verilere sahip aynı sayıda alıcı belirlendi ve Grup 2’ye dahil edildi. Her iki grup kaydedilen veriler ve intraoperatif hemodinamik parametreler açı- sından karşılaştırıldı. Bulgular: Çalışmaya 24 hasta dahil edildi. Ortalama diyaliz süreleri Grup 1 ve Grup 2 için sırasıyla 81,6 ± 64,8 ve 16,8 ± 17,4 aydı (p = 0,001). Ortalama soğuk iskemi süresi Grup 1›de Grup 2›den anlamlı olarak daha uzundu (p = 0,001). Grup 1 ve Grup 2 için operatif ortalama idrar çı- kışı sırasıyla 87.3 ± 149.6 ve 634.2 ± 534.5 idi (p = 0.002). Her iki grup ortalama arter basıncı, kalp hızı, periferik oksijen satürasyonu ve CVP değer- leri açısından benzerdi. Sonuç: Canlı donör nakline göre kadavra do- nör nakillerinde soğuk iskemi süresi daha uzun- dur ve operatif idrar hacmi daha düşüktür. İyi bir preoperatif hazırlık, yakın intraoperatif takip ve uygun sıvı yönetimi ile her iki tip donör alıcıda da benzer intraoperatif hemodinamik parametreler elde edilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Uludag Yanaral T, Karaaslan P (2021). Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. , 178 - 183. 10.33719/yud.2021;16-2-850725
Chicago Uludag Yanaral Tumay,Karaaslan Pelin Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. (2021): 178 - 183. 10.33719/yud.2021;16-2-850725
MLA Uludag Yanaral Tumay,Karaaslan Pelin Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. , 2021, ss.178 - 183. 10.33719/yud.2021;16-2-850725
AMA Uludag Yanaral T,Karaaslan P Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. . 2021; 178 - 183. 10.33719/yud.2021;16-2-850725
Vancouver Uludag Yanaral T,Karaaslan P Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. . 2021; 178 - 183. 10.33719/yud.2021;16-2-850725
IEEE Uludag Yanaral T,Karaaslan P "Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations." , ss.178 - 183, 2021. 10.33719/yud.2021;16-2-850725
ISNAD Uludag Yanaral, Tumay - Karaaslan, Pelin. "Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations". (2021), 178-183. https://doi.org/10.33719/yud.2021;16-2-850725
APA Uludag Yanaral T, Karaaslan P (2021). Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. Yeni Üroloji Dergisi, 16(2), 178 - 183. 10.33719/yud.2021;16-2-850725
Chicago Uludag Yanaral Tumay,Karaaslan Pelin Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. Yeni Üroloji Dergisi 16, no.2 (2021): 178 - 183. 10.33719/yud.2021;16-2-850725
MLA Uludag Yanaral Tumay,Karaaslan Pelin Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. Yeni Üroloji Dergisi, vol.16, no.2, 2021, ss.178 - 183. 10.33719/yud.2021;16-2-850725
AMA Uludag Yanaral T,Karaaslan P Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. Yeni Üroloji Dergisi. 2021; 16(2): 178 - 183. 10.33719/yud.2021;16-2-850725
Vancouver Uludag Yanaral T,Karaaslan P Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations. Yeni Üroloji Dergisi. 2021; 16(2): 178 - 183. 10.33719/yud.2021;16-2-850725
IEEE Uludag Yanaral T,Karaaslan P "Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations." Yeni Üroloji Dergisi, 16, ss.178 - 183, 2021. 10.33719/yud.2021;16-2-850725
ISNAD Uludag Yanaral, Tumay - Karaaslan, Pelin. "Comparison of intraoperative hemodynamic parameters of recipients in adult living donor and deceased donor kidney transplantations". Yeni Üroloji Dergisi 16/2 (2021), 178-183. https://doi.org/10.33719/yud.2021;16-2-850725