Intraoperative albumin plus crystalloid solution versus crystalloid alone in renal transplant surgery

ABSTRACT

Chronic renal failure is defined as an irreversible deterioration in renal function which classically develops over a period of months or years. renal transplantation is the treatment of choice for end stage renal failure and during surgery the maintenance and restoration of intravascular volume are essential tasks to achieve sufficient organ function in renal transplants. To study the comparison between normal saline 0.9% with glucose 5% and normal saline 0.9%, glucose 5% with albumin in renal transplantation. The study data from 50 patients 47 patients underwent living donor kidney transplants three were excluded because they are diabetics.twenty three patients received normal saline 0.9%, glucose saline 5%,and twenty four received normal saline 0.9 with glucose 5% and albumin 100 milliliter. There was no statistical difference between the two groups in the primary measurement of outcome measure in the urine output in the 1[st] day and the serum creatinine in the 1[st] and 3[rd] day. Although statistically there was no difference in the two groups, it might be its useful to combine a colloid with a crystalloid in the fluid management regimen to improve microcirculation, oxygen perfusion and to ovoid large volumes of crystalloid