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Kidney transplantation: perioperative cardiovascular risk and anaesthetic management 

Kidney transplantation: perioperative cardiovascular risk and anaesthetic management
Chapter:
Kidney transplantation: perioperative cardiovascular risk and anaesthetic management
Author(s):

Livia Pompei

, Maria Gabriella Costa

, Mauricio Sainz-Barriga

, George Burke

, and Giorgio Della Rocca

DOI:
10.1093/med/9780199651429.003.0014
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date: 25 August 2019

Kidney transplantation may pose significant perioperative clinical challenges to the anaesthesiologist and critical care specialist due to associated cardiovascular comorbidities and end-stage renal disease. In this chapterwe provide a review of cardiovascular disease risk evaluation based on the 2014 American Heart Association/American College of Cardiologyguidelines and perioperative anaesthetic and surgical management, including the utility of state-of-the-art invasive and non-invasive haemodynamic monitors, and the rationale and benefits of loop diuretics and/or mannitol. A rational approach for postoperative intensive care unit admission as proposed by the Society of Critical Care Medicine is also presented.

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