title: [Resuscitation during renal transplantation in children].
abstract: Over a 4 yr-period, 60 children (aged 10 months to 17 yr) received 66 kidney transplants with the same surgical intensive care program, the fist 48 hr-period of which has been analysed in this study. Thirty percent of recipients were transplanted without previous dialysis and in 8%, body weight was below 10 kg at the time of surgery. The duration of anesthesia was 4.4 +/- 1.0 h and 32% received locoregional anesthesia. The mean duration for cold ischemia was 14.7 +/- 11.7 h and 26 +/- 7 min for warm ischemia; diuresis began during the operation in 79% of the patients. Routine vascular filling consisted of standard isotonic solute (11 +/- 4 ml/kg/h) associated with mannitol infusion; 59% of recipients required 20% human serum albumin and 42% blood transfusion. Post-operative diuresis was 7.4 +/- 6.0 ml/kg/h during the first 24 h, and sometimes resulted in hypovolemic episodes; 9% of the patients had primary non-functioning kidneys (4 transient acute tubular necrosis; 2 vascular thrombosis) and 4% required dialysis; the 1-yr survival rate was 82% for the grafts and 98% of the patients.
authors.affiliation: Unité de néphrologie et de réanimation pédiatriques, hôpital Edouard-Herriot, Lyon, France.
authors.forename: P
authors.initials: P
authors.lastname: Cochat
authors.forename: D
authors.initials: D
authors.lastname: Long
authors.forename: D
authors.initials: D
authors.lastname: Floret
authors.forename: X
authors.initials: X
authors.lastname: Martin
authors.forename: D
authors.initials: D
authors.lastname: Stamm
authors.forename: J L
authors.initials: JL
authors.lastname: Faure
authors.forename: B
authors.initials: B
authors.lastname: Chabrol
authors.forename: J M
authors.initials: JM
authors.lastname: Maréchal
authors.forename: P
authors.initials: P
authors.lastname: Palazzolo
authors.forename: J L
authors.initials: JL
authors.lastname: Touraine
mesh_terms: D000293:Adolescent; D000765:Anesthesia, Conduction; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007432:Intraoperative Period; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods; D007683:Kidney Tubular Necrosis, Acute / Q000209:etiology; D008297:Male; D011184:Postoperative Period; D011446:Prospective Studies; D012151:Resuscitation; D014019:Tissue Donors
vernacular_title: Réanimation en transplantation rénale chez l'enfant.