C Monsalve1, L Izquierdo, A Alcaraz. 1. Department of Anaesthesiology, Hospital Clinic, Barcelona, Spain. monsalve@clinic.ub.es
Abstract
INTRODUCTION: Renal transplantation (RT) is considered the treatment of choice for patients with end-stage renal disease due to the improved short- and long-term survival benefits over dialysis treatment. The success of RT can be improved by working within a multidisciplinary team. OBJECTIVE: The aim of this work was to assess the anesthetic management of RT to guarantee success. DISCUSSION: Anesthesiologists who work in RT should know the interactions between hemodynamics and pharmacology in these patients. But to be able to work as a team, there are three questions that need to be answered: What do the urologist and the anesthesiologist need to know about renal transplantation? What does the urologist need to know about anesthesia? Or, in other words, what do anesthesiologists really want the urologists to know, and what does an anesthesiologist want to know about RT? CONCLUSIONS: RT is a complex procedure that needs a multidisciplinary approach, especially in patients with important comorbidities. It is necessary to learn how to look through the eyes of the rest of the team. Working within a multidisciplinary team is basic to ensure the success of the RT.
INTRODUCTION: Renal transplantation (RT) is considered the treatment of choice for patients with end-stage renal disease due to the improved short- and long-term survival benefits over dialysis treatment. The success of RT can be improved by working within a multidisciplinary team. OBJECTIVE: The aim of this work was to assess the anesthetic management of RT to guarantee success. DISCUSSION: Anesthesiologists who work in RT should know the interactions between hemodynamics and pharmacology in these patients. But to be able to work as a team, there are three questions that need to be answered: What do the urologist and the anesthesiologist need to know about renal transplantation? What does the urologist need to know about anesthesia? Or, in other words, what do anesthesiologists really want the urologists to know, and what does an anesthesiologist want to know about RT? CONCLUSIONS: RT is a complex procedure that needs a multidisciplinary approach, especially in patients with important comorbidities. It is necessary to learn how to look through the eyes of the rest of the team. Working within a multidisciplinary team is basic to ensure the success of the RT.