Anesthesia and Intraoperative Management of Renal Transplantation

The global epidemic of diabetes and hypertension has resulted in a dramatic increase of chronic kidney disease. For patients with end-stage renal disease, a transplant provides better survival and health-related quality of life than dialysis and is less resource intensive and more cost effective. Renal transplantation is the most commonly performed organ transplantation in the world, but because of organ shortages, the number of transplants is not increasing significantly. In an attempt to alleviate the organ shortage, expanded criteria for donors and donation after cardiac death are alternative strategies to increase the cadaveric donor pool.