bandage-green

Living Donor Nephrectomy and Hepatectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, Supine, arms tucked, one arm extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, High Blood Loss, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT
2GETT, Epidural
The Surgery

Donor nephrectomy positioning - lateral decubitus with the table flexed and the kidney rest raised, on a beanbag, with sequential compression devices on. The left kidney is usually preferred for its...

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