[Clinical management of the living donor kidney transplant recipient].
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.
Cofan
Federico
F
Servicio de Nefrología, Unidad Trasplante Renal, Hospital Clínico de Barcelona, España. fcofan@clinic.ub.es
Torregrosa
Jose-Vicente
JV
D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D007683:Kidney Tubular Necrosis, Acute / Q000175:diagnosis / Q000209:etiology; D019520:Living Donors; D011182:Postoperative Care