Anaesthesia and Peri-Operative Care for Laparoscopic Donor Nephrectomy


Wijzig gegevens

Titel Anaesthesia and Peri-Operative Care for Laparoscopic Donor Nephrectomy
Looptijd 08 / 2004 - 05 / 2008
Status Afgesloten
Dissertatie Ja
Onderzoeknummer OND1310780
Leverancier gegevens Website COEUR

Samenvatting (EN)

Recently, laparoscopic procedures occur much more frequently, mainly because of the reduced procedure-related morbidity. Advances in laparoscopic techniques have made procedures such as laparoscopic donor nephrectomy (LDN) possible. Increased intra-abdominal pressure during pneumoperitoneum (PP), however, is associated with increased mean arterial blood pressure and systemic vascular resistance, together with decreased stroke volume. In addition, impaired renal blood flow (RBF) and glomerular filtration rate, with oliguria and anuria, has been reported. One of the main concerns during LDN is preservation of renal function. Assessment of RBF during operation is not easily obtained; the anesthesiologist depends in normal practice on urine output and hemodynamic parameters. Ingrid Mertens zur Borg investigates the hemodynamic differences induced by CO2 - PP, what causes it, and its consequences for kidney function. Hopefully, her data will guide the anesthesiologist towards best management.

Betrokken organisaties

Betrokken personen


D23220 Inwendige geneeskunde
D23310 Chirurgie
D23320 Anesthesiologie

Ga terug naar de inhoud
Ga terug naar de site navigatie