Epidural anesthesia for renal transplantation: a preliminary report

Anesthesia for pediatric renal transplantation with and without epidural analgesia – a review of 7 years experience

“…Only two centers reported the use of epidural analgesia – stating that this form of analgesia was restricted to recipients of grafts from living related donors. At least one European center has reported its successful experience with epidural analgesia for renal transplantation in 27 adults (23). Despite this, epidural analgesia for pediatric renal transplantation remains controversial because of (i) a theoretically increased risk of epidural hematoma and abscess formation, (ii) perceived risks of vascular instability resulting in reductions in graft perfusion, and (iii) limited data on the profile of minor adverse effects.…”

Untitled

“…20,21 The use of regional anesthesia for renal transplant remains controversial. 22 A TAP block proved to be effective in some studies [23][24][25] but failed to produce effective pain control in other studies. 26,27 Combining TAP block and ID together in this review showed significant reduction of the PCA requirement, with patient reliance mainly on oral analgesia.…”

Anesthesia for Select Urologic Procedures

“…23 Placements of intra-arterial catheters are common and central venous catheters routine for intraoperative management. In deceased donor transplantation, prolonged cold ischemia time becomes urgent for the allograft; however, urgency should not preclude efficient steps being taken to optimally prepare a recipient for renal transplant surgery.…”