Term
| Great anesthesia impacts the _____ of the graft organ, the _______ of the transplanted graft, and as a result the _____ ____ ________ of the transplant recipient. |
|
Definition
| quality, viability, long term survival |
|
|
Term
| What is the one clear recommendation for organ donation anesthesia and why? |
|
Definition
| Use a muscle relaxant to prevent spinal reflexes. |
|
|
Term
|
Definition
| P1-P2 (perfusion pressure)/ R (resistance) |
|
|
Term
| In reactive hyperemia, blood flow ______ __-__ times normal. |
|
Definition
|
|
Term
| During autonomic storm, NE levels can increase ___%, Epi levels ____%, Dopamine levels ____% |
|
Definition
|
|
Term
| Since pituitary failure is common, what hormone therapy may be helpful? |
|
Definition
-T3
-Methylprednisone
-desmopressin
-insulin (BG 120-180 mg/dL) |
|
|
Term
| What other meds should you have in the room for organ procurement? |
|
Definition
-broad spec antibiotic
-mannitol
-loop diuretic
-heparin
-pressors like NE |
|
|
Term
| Preservation time for heart and lungs |
|
Definition
|
|
Term
| Preservation time for the liver |
|
Definition
|
|
Term
| Preservation time for the pancreas |
|
Definition
|
|
Term
| Preservation time for kidneys |
|
Definition
|
|
Term
| Average length of surgery for transplant patients |
|
Definition
|
|
Term
| transplant patients spend _ ___ on the vent |
|
Definition
|
|
Term
| transplant patients spend __ _____ in the ICU |
|
Definition
|
|
Term
| transplant patients are discharged ___ ____ after their surgery |
|
Definition
|
|
Term
| Kidney transplant is indicated if kidney failure is caused by what 4 conditions? |
|
Definition
1) severe, uncontrollable HTN
2) infections
3) diabetes
4) glomerulonephritis |
|
|
Term
| 4 reasons one may not get a kidney transplant |
|
Definition
1) heart, lung or liver disease
2) other life-threatening diseases
3) certain infections (TB, osteomyelitis)
4) difficulty taking mediations several times a day for the rest of their lives. |
|
|
Term
| With modern immunosuppresive regimens, cadaveric transplants have achieved almost the smae 3-year graft survival rates (__-__%) as living related donor grafts. |
|
Definition
|
|
Term
| what are the only remaining absolute contraindications for renal transplant? |
|
Definition
|
|
Term
| What are the relative contraindications for renal transplant? |
|
Definition
| advanced age (>60) and severe cardiovascular disease |
|
|
Term
| The kidney recipient should have dialysis the _____ or ____ ____ transplantaion and their potassium should be below ___mEq/L |
|
Definition
| morning, night before, 5.5 mEq/L |
|
|
Term
| What gases can you use in kidney transplant cases? |
|
Definition
| Iso and des. Avoid sevo bc of fluoride ion accumulation and decreased RBF |
|
|
Term
| What muscle relaxants are ok to use because they are not primarily dependent on renal excretion for elimination? |
|
Definition
| atracurium, cisatracurium, rocuronium |
|
|
Term
| CVP is helpful because it... |
|
Definition
| helps ensure adequate hydration while avoiding fluid overload |
|
|
Term
|
Definition
|
|
Term
|
Definition
T& C for prbc, ffp, plasma
2 large bore IVs
Art line |
|
|
Term
|
Definition
| RSI with succs and etomidate |
|
|
Term
|
Definition
| Isoflurane at 1 MAC, no Nitrous! |
|
|
Term
| what do you use to monitor renal perfusion intra/postop? |
|
Definition
|
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