

If warranted, a preop CBC may be done to document the platelet count. Anemia currently better treated with erythropoietin. Turnaround time is quickest with a STAT venous blood gas-make sure that the panel you order includes electrolytes!

Common to bolus 4 units and infuse 4 units/hr, but modify based on patient’s preoperative insulin regimen.

Glomerular disease (FSGS, IgA nephropathy, SLE, etc)ġ) Living Donor Recipients- Typically pre-screened by Dr Claus Niemann for phone consult vs.Most common causes of ESRD requiring kidney transplant: Wait list times are higher than national averages.~5,400 people on the kidney transplant waiting list at UCSF.2013- 345 kidney transplants (211 deceased donor allografts and 134 live donor allografts).Busiest kidney transplant center in California.101,000 patients on the waiting list as of January 2015.Additional rules for pediatrics, blood type B, and patients who are immunologically hard to matchĦ) Recipients from living donors: often are earlier in their disease process may be on peritoneal dialysis or never have been dialyzed (preemptive transplantation).have a high chance of surviving with a transplanted kidney for a longer time.with a high chance of lasting a longer time (as determined by donor factors) with recipients who.The allocation system now tries to match kidneys Likelihood of long-term need for a kidney.Time on dialysis (now receive credit for any time spent on dialysis prior to being listed).Elements that determine a patient’s likelihood of receiving an offer include: Additional consultants (Hematology, Pulmonary, Infectious Disease, Rheumatology, Immunologic, Dental, etc.) as needed for comorbidities.ģ) Immunologic evaluation- ABO blood group determination, human leukocyte antigen (HLA) typing, screening for antibodies to HLA phenotypes, and cross-matching.Ĥ) Additional Health Maintenance: Per established guidelines for example, age-appropriate colon cancer screening in patients older than 50.ĥ) Allocation- The allocation system for kidneys was revised at the end of 2014. How a patient gets on the UCSF Transplant listġ) Evaluation- Transplant nephrologists, Transplant surgeon, social worker, financial counselor begin the evaluationĢ) T esting- Given high prevalence of diabetes and hypertension in the ESRD population, most patients will have an ECG, echo, and possibly a stress test in the system. UCSF Anesthesia Resident Pearls: Renal Transplant
