ANESTHESIA AND PERIOPERATIVE MANAGEMENT FOLLOWING ERAS PROTOCOL IN KIDNEY TRANSPLANTATION FROM BRAIN-DEAD DONORS AT THONG NHAT HOSPITAL: A CASE SERIES OF SIX PATIENTS

Trương Vân Anh 1 , , Đào Ngô Quyền 1
1 Bệnh viện Thống Nhất image/svg+xml
* Tác giả liên hệ:

Thông tin bài viết

Thống kê
Lượt tải: 0 Lượt xem: 4
DOI
10.63947/bvtn.v2i7.18
Xuất bản
27-02-2026
Số Tập 2 Số 7 (2026): Multimodal approaches in geriatrics
Chuyên mục
Báo cáo ca lâm sàng
Danh mục
Nghiên cứu khoa học

Tải bài viết

PDF

Cách trích dẫn

1.
Vân Anh T, Ngô Quyền Đào. ANESTHESIA AND PERIOPERATIVE MANAGEMENT FOLLOWING ERAS PROTOCOL IN KIDNEY TRANSPLANTATION FROM BRAIN-DEAD DONORS AT THONG NHAT HOSPITAL: A CASE SERIES OF SIX PATIENTS. JHA [Internet]. Vietnam; 2026 tháng 2 27 [cited 2026 tháng 2 28];2(7):137–142. https://tcsuckhoelaohoa.vn/bvtn/article/view/101 doi: 10.63947/bvtn.v2i7.18
Đang tải trích dẫn...
Crossref
Scopus
Google Scholar
Europe PMC

Tóm tắt

Kidney transplantation is one of the most effective treatment options for patients with end-stage renal disease. However, a considerable number of patients die while waiting for transplantation. We conducted a descriptive case series of six kidney transplantations from brain-dead donors in Thong Nhat hospital. All six procedures were completed successfully following a standardized Enhanced Recovery After Surgery (ERAS) anaesthetic protocol. No patients experienced postoperative nausea or delayed graft function, and early urine output exceeded 2 mL.kg⁻¹.h⁻¹ in all recipients. The prevalence of end-stage renal disease is steadily increasing, while the disparity between available organ supply and transplantation demand continues to widen. Organs from brain-dead donors represent an effective strategy to address this shortage. Kidney transplantation is a highly complex surgical procedure that necessitates meticulous anesthetic planning to ensure patient safety and optimize graft function. ERAS‑based protocols offer safe and effective perioperative management, resulting in reduced complications, shorter hospital stays and improved patient satisfaction.

Từ khóa

Kidney transplantation brain-dead donor anesthesia and perioperative management ERAS protocol

Tài liệu tham khảo

  1. Clarke C. Management of the brain dead organ donor. Indian Journal of Thoracic and Cardiovascular Surgery 37(Suppl 3), 395–400 (2021).
  2. Lopez Vargas P A, Tong A, Sureshkumar P et al. The cost effectiveness of kidney replacement therapy modalities: a systematic review of full economic evaluations. Nephrology Dialysis Transplantation 35(7): 1184–1196 (2020).
  3. Garcia Valencia O A, Suppadungsuk S, Thongprayoon C et al. Health insurance and kidney transplantation outcomes in the United States: a systematic review and AI driven analysis of disparities in access and survival. Renal Failure 47(1):2513007 (2025).
  4. Kim H, Jung H. Considerations regarding anesthesia for renal transplantation. Anesthesia and Pain Medicine (Seoul) 19(1):5–11 (2024).
  5. Government of Vietnam. Luật hiến, lấy, ghép mô, bộ phận cơ thể người và hiến, lấy xác [Law on donation, removal and transplantation of human tissues and organs, and on donation and recovery of cadavers]. No. 75/2006/QH11, November 29, 2006. Hanoi: National Assembly of the Socialist Republic of Vietnam; 2006.
  6. Pham Gia Khanh. “Tiến bộ ghép tạng tại Việt Nam: Từ giấc mơ đến hiện thực.” Y Học TP. Hồ Chí Minh 20(4):1–5 (2016).
  7. Tran Sinh N, Du Thu T N et al. Current status of organ donation for transplantation in Vietnam. Transplantation 102(Suppl):S382 (2018).
  8. Jaszczuk S, Natarajan S, Papalois V. Anaesthetic approach to enhanced recovery after surgery for kidney transplantation: a narrative review. Journal of Clinical Medicine 11(12):3435 (2022).
  9. Elsabbagh A M, Ghoneim I, Moiz A et al. Enhanced recovery after surgery pathway in kidney transplantation: the road less traveled. Transplant Direct 8(7):e1333 (2022).
  10. Malyala R, Nguyen A T, Escamilla E et al. Establishing targets for goal directed anesthesia in renal transplantation: a cohort analysis of high saliency surgical time courses. American Journal of Transplantation 24(11):2055–2065 (2024).
  11. Shrestha P C, Bhandari T R, Devbhandari M et al. Kidney transplantation from brain dead donors in Nepal: report of first six cases. Annals of Medicine and Surgery 81:104386 (2022).
  12. Collins M G, Fahim M A, Pascoe E M et al. Balanced crystalloid solution versus saline in deceased donor kidney transplantation (BEST Fluids): a pragmatic, double blind, randomised controlled trial. The Lancet 402(10396):105–117 (2023).

Giấy phép

© 2026 Tác giả. Xuất bản bởi Tạp chí Sức khỏe và Lão hóa.

Creative Commons License

Tác phẩm này được cấp phép theo Giấy phép Creative Commons Ghi công-Phi thương mại-Không phái sinh 4.0 Quốc tế.