EVALUATION THE RESULTS OF REANIMATION AFTER KIDNEY TRANSPLANT IN CHILDREN
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Tóm tắt
Introduction: Pediatric kidney transplants has been increasing in recent years, as the procedure provides long-lasting and favorable outcomes; however many complications can occur in post-transplant period. The early perioperative care plays a signifcant role in reducing complications and improving the quality of treatment.
Objectives: To describe the clinical, laboratory, and early complications in perioperative period post kidney transplant surgery.
Methods: We conducted a descriptive cross-sectional study in the Surgical intensive care unit of the Vietnam National Children’s Hospital. Data of patients underwent renal transplant procedure were collected from January 2014 to April 2022.
Results: The study included 33 patients with an average age of11.1 ± 3.3 years, of which 70% were male, the average weight of them was 28 ± 10 kg. The median mechanical ventilation time was 6.1 hours (IQR 4.0 - 12.3). 53.3% of patients required vasopressors/ inotropes. Hypertension was documented in 22 patients (73.3%); of which, 19/22 required intravenous antihypertensive drugs. Polyuria gradually improve after surgery, urea and creatinine levels turned to normal after 3 days. 9 patients (30%) reported complications in which postoperative bleeding was the most common cause (4/33 patients) followed by urinary tract infection (3/33 patients). Only one case of delayed graft function and one case of renal artery stenosis were observed.
Conclusion: A high incidence of perioperative complications after kidney transplant surgery was documented. Continuous postoperative clinical monitoring is imperative for early detection and treatment of these complications.
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Từ khóa
renal transplant, perioperative care, complications
Tài liệu tham khảo
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