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• W3003128789 abstract "Kidney transplantation is the treatment of choice in patients with end-stage renal disease, as it improves survival and quality of life. Living donor kidney transplant prior to pancreas transplantation, or simultaneous pancreas and kidney transplantation are discussed. Patients usually present comorbidities and extensive preoperative workups are recommended, especially cardiac assessment, though type and frequency of surveillance is not established. Nephroprotective strategies include adequate fluid status and goal-directed therapy. The conventional use of diuretics has not demonstrated a real nephroprotective effect at follow-up. Thromboprophylaxis regimes, especially for the pancreatic graft outcome, are of importance. Notably, transplantation in the obese population has increased in recent decades. Strict preoperative evaluation and pulmonary considerations must be kept in mind. Finally, robotic kidney transplant is a recent approach that presents anesthetic challenges, mainly related to steep Trendelenburg position and fluid restriction." @default.
• W3003128789 created "2020-01-30" @default.
• W3003128789 creator A5033188948 @default.
• W3003128789 creator A5048457562 @default.
• W3003128789 date "2020-03-01" @default.
• W3003128789 modified "2023-10-02" @default.
• W3003128789 title "Perioperative considerations for kidney and pancreas-kidney transplantation" @default.
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• W3003128789 doi "https://doi.org/10.1016/j.bpa.2020.01.005" @default.
• W3003128789 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32334785" @default.
• W3003128789 hasPublicationYear "2020" @default.
• W3003128789 type Work @default.
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