Anesthesia for Kidney Transplantation: Our Experience. Retrospective study over a period of 12 months at EHUO
Author(s): Zelmat SA, Bouabida D, Ouadah K, Bensafir S, Boucherit A, Belcacem F, Elkebir D, Mazour F
Our work is a descriptive study of patients admitted for kidney transplantation at the EHUO, with the aim of describing the protocol and specifying the severity of postoperative incidents of kidney transplantation. We conducted a descriptive study over 12 months. 76 cases of kidney transplant recipients were treated in the EHUO Anesthesia Resuscitation Department. The male/female sex ratio 33/43 is 0.77 showing a clear female predominance, with an average age of 40.61 ± 14.51 years, the age varied between 17 and 75 years for all patients. an average dry weight of 69 ± 16 kg. The average duration of surgery was 290 ± 70 minutes. All the patients benefited from a renal monograft. Our protocol is based on general anesthesia combined with spinal analgesia with morphine (in the absence of any contraindication to ALR) with the main objective of maintaining sufficient perfusion of the graft in order to prevent thrombosis of vascular anastomoses. 75 (99%) received spinal analgesia with morphine with an average bolus of 150 ± 50 ug. In the post-operative monitoring room, 1 out of 76 (1.31%) patients received morphine (titration, then PCA) with an average dose of 7 ± 7 mg. The average consumption of morphine during the first 24 hours was 17 ± 19 mg. No patient presented serious adverse effects (allergy, desaturation, bradycardia, drowsiness) attributable to the administration of morphine. 4 patients out of 76 (3.04%) patients presented at least one non-serious adverse effect (nausea, vomiting, pruritus, bradypnoea) attributable to the administration of morphine during the first 24 postoperative hours. The postoperative follow-up was simple in 66.88% of cases, the complications found: 1 case of compressive hematoma and no death.