Post-operative challenges in pediatric renal transplant: Nephro-intensivist perspective

Abstract

Renal transplantation is the treatment modality of choice for children with end-stage kidney disease since it decreases morbidity and mortality and improves quality of life. Children usually receive either living donor or deceased donor kidneys from adults. There are particular challenges to keep in mind while managing pediatric kidney transplant recipients in the post-operative period in the intensive care unit. This review focuses on the unique issues relating to maintaining fluid balance, current immunosuppression practices, prevention of graft thrombosis and expected complications of kidney transplant in children.

Keywords

• kidney transplant
• intake output
• immunosuppression