A Descriptive Study of Late Intensive Care Unit Admissions After Adult Solitary Kidney Transplantation

Abrol, Nitin; Kashani, Kianoush; Prieto, Mikel; Taner, Timuçin

doi:10.1016/j.transproceed.2021.01.031

Cited by 1 publication

(3 citation statements)

References 17 publications

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Section: Infectionsmentioning

confidence: 99%

“…Transplant related infections are a common cause of ICU admission, occurring in predictable patterns depending on the posttransplant period and associated with high mortality rates (Fig. 1) [5]. Depending on timing, the infections may be due to technical issues of the transplant, donor-derived infections or as a consequence of immunosuppression.…”

Section: Infectionsmentioning

confidence: 99%

“…Kidney transplant recipients (KTRs) are medically complex and 10% of recipients require intensive care unit (ICU) admission [3]. Due to extensive cardiovascular risk factors and high levels of immunosuppression, primary reasons for ICU admission are cardiovascular complications, respiratory compromise, and sepsis [4,5]. Acute postkidney transplant vascular and urinary complications may also require ICU care.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of the kidney transplant recipient in the intensive care unit

Voora,

Shah,

Nadim

2023

Current Opinion in Critical Care

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Purpose of review Kidney transplantation is the ideal treatment for patients with chronic kidney disease and end stage renal disease. While centers are performing more transplants every year, the need for organ transplantation outpaces the supply of organ donors Due to a growing population of patients with advanced kidney disease and a scarcity of kidneys from deceased donors, patients face extended wait times. By the time patients approach transplantation they have multiple comorbidities, in particular cardiovascular complications. Their risk of complications is further compounded by exposure to immunosuppression post kidney transplantation. Kidney transplant recipients (KTRs) are medically complex and may require acute management in the intensive care unit (ICU), as a result of cardiovascular complications, infections, and/or respiratory compromise from lung infections and/or acute pulmonary edema. Acute complication of immunosuppression, such as thrombotic microangiopathy and posterior reversible encephalopathy syndrome may also warrant ICU admission. This review will cover assessment of high-risk complications and management strategies following kidney transplantation. Recent findings For intensivists caring for KTRs, it is imperative to understand anatomical considerations of the transplanted kidney, unique infectious risks faced by this population, and appropriate modulation of immunosuppression. Summary Recognizing potential complications and implementing appropriate management strategies for KTRs admitted to the ICU will improve kidney allograft and patient survival outcomes.

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Section: Infectionsmentioning

confidence: 99%

Section: Infectionsmentioning

confidence: 99%