From the Cardiothoracic Anesthesia and Ultrasound Perioperative from the Departments of Transplantation and Anesthesiology, Servicios de Salud Del Estado de Queretaro, Hospital General de Querétaro, Santiago de Querétaro, México.
Exp Clin Transplant. 2022 Mar;20(Suppl 1):153-155. doi: 10.6002/ect.MESOT2021.P79.
Kidney transplantation continues to be the treatment of choice in patients with end-stage chronic kidney disease. Unfortunately, most patients in the adult population have coexisting diseases. Anemia, platelet dysfunction, and changes to the cardiovascular system are not the exception in the evolution of the disease. This group of patients has an increased risk of intraoperative and postoperative complications associated with the general conditions of their body and other complications related to the surgical procedure. For this reason, adequate control of fluids and electrolytes under adequate monitoring and hemodynamic support are essential; these can optimize the patient's vital signs and improve the conditions of the implant to guarantee proper functioning. In this series, 18 kidney transplant recipients with peripheral insertion central venous catheter were reviewed. There was an acceptable rate of success with proper placement. No complications inherent to the installation technique were found. In all patients, the installation was successful.
肾移植仍然是终末期慢性肾脏病患者的首选治疗方法。不幸的是,大多数成年患者都有并存疾病。贫血、血小板功能障碍和心血管系统的变化在疾病的发展过程中并不罕见。这群患者由于身体的一般状况而增加了与手术相关的围手术期并发症的风险,以及与手术过程相关的其他并发症。因此,在适当的监测和血流动力学支持下,对液体和电解质进行充分的控制是至关重要的;这可以优化患者的生命体征,改善植入物的状况,以保证正常的功能。在这一系列中,我们回顾了 18 例接受外周插入中心静脉导管的肾移植受者。适当的放置有可接受的成功率。没有发现与安装技术相关的固有并发症。所有患者的安装均成功。