Abstract

COFAN, Federico  and  TORREGROSA, Jose-Vicente. Clinical management of the living donor kidney transplant recipient. Arch. Esp. Urol. [online]. 2005, vol.58, n.6, pp.531-536. ISSN 0004-0614.

To analyze the clinical management of the renal transplant recipient from a kidney living donor. The renal transplantation (RT) from a living donor without surgical complications has a very low frequency of acute tubular necrosis (ATN) that facilitates enormously the clinical control. The scheme of follow-up after-RT must include: (1) Hemodynamic monitoring; (2) Clinical management; (3) Renal allograft monitoring: renal function, diuresis, radionuclide imaging and ultrasound -Doppler; (4) Pharmacological treatment: analgesia, gastric protection, antibiotic prevention; (5) Monitoring of the immunosuppressive therapy; (6) Digestive monitoring; (7) Control of the cardiovascular risk; (8) Preventions infectious; (9) Osteodistrophia control. In living donor RT a rapid normalization of the renal function and a time of hospitalization reduced are observed. The presence of a long ATN or a renal dysfunction of the graft must force to realize an early renal allograft biopsy.

Keywords : Living donor; Renal transplantation; Clinical medecine; Acute tubular necrosis.

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