title: Anaesthesia for renal transplant surgery:  an update.
abstract: Although the overall outcome of patients undergoing renal transplant surgery has improved in recent years, delayed graft function and myocardial infarction remain common and severe postoperative complications. This review article provides an update on anaesthesia for renal transplant surgery in order to optimise perioperative therapy and improve the outcome of these patients. In particular, the characteristics of this high-risk population and the recommendations for preoperative 'work-up' are summarised. Care for the living donor, commonly used drugs and their potential nephrotoxic properties are discussed. Finally, the current knowledge about volume therapy, optimised haemodynamic management and postoperative care is described.
authors.affiliation: Department of Anaesthesiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Schmid
authors.forename: Bettina
authors.initials: B
authors.lastname: Jungwirth
mesh_terms: D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods*; D000777:Anesthetics / Q000009:adverse effects; D001803:Blood Transfusion; D003102:Colloids / Q000737:chemistry; D005060:Europe; D006439:Hemodynamics; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D019520:Living Donors; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D059035:Perioperative Period; D011184:Postoperative Period; D057234:Preoperative Period; D012306:Risk; D013997:Time Factors
chemical_list: D000777:Anesthetics; D003102:Colloids