Clinical Investigation of Twenty Living Renal Transplants / 대한마취과학회지

ABSTRACT

This is a report of anesthesia experiences for twenty cases of living renal transplantation at the Hanyang University Hospital from April 11th, 1978 to June 5 th, 1979. The living or cadavar renal transplantation has become a form of treatment for the terminal stage of kidney disease in the last ten years. Since last 1970, several authors in Korea have reported on the anesthetic management of the recipients of living renal transplantation, briefly mentioning the technics used and statistics of the morbidity and mortality of the recipient patients. We have reviewed the preanesthetic preparations, anesthetic agents and technics as well as the surgical procedures and recipients mortalities. The results are as follows 1) All kidney grafts were performed from living donors. 2) In the sex distribution of the donors, females were the great majority. and on the other hand, of the recipients, males were the great mayority. 3) All patients were anesthetized with endotracheal general anesthesia using propanidid 300~500mg, pancuronium 2~4mg for induction and halothane 0.5~1.0%, and nitrous oxide plus oxygen proportionally 2 2 L/m for maintenace. 4) The amount of whole blood transfusion during anesthesia ranged from 300 to 800 ml and fluid infusion was 940 ml of normal saline solution. 5) After living renal transplantation, diuresis started immediately and the majority of patients showed marked diuresis in which the urine volume in 24 hours was 4,202ml. 6) The following study of the patients mortality showed that 5 cases died out of 20 cases after surgery. The survival rate is 75% at the present time.