Perioperative fluid management during pediatric kidney transplantation
10.3969/j.issn.1671-8283.2013.08.012
- VernacularTitle:48例肾移植患儿围手术期的液体管理
- Author:
Peijiao LIAO
;
Cuiling SU
;
Yun XIAO
;
Xiaoling LIANG
;
Lijuan HUANG
;
Xian REN
- Publication Type:Journal Article
- Keywords:
children;
kidney transplantation;
perioperative period;
fluid management
- From:
Modern Clinical Nursing
2013;(8):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the strategies and effectiveness of perioperative fluid administration during pediatric kidney transplantation.Methods In our study,we evaluated the heart function and compliance of pediatric patients preoperatively,and then formulated perioperative fluid management strategy according to children’s circulation feature.The electrolytic balance was kept and complications were prevented.Results Twenty-nine out of all 48 children experienced electrolyte disturbance to different extents on day 1 postoperatively,which improved on day 2 after prompt management.There were five cases of oliguria,three cases of delayed graft function(DGF),one case of heart failure and multiple organ failure respectively.Conclusion Such nursing strategies like formulation of reasonable fluid infusion plan according to the physiological features of pediatric recipients,keeping the electrolytic balance and careful management of fluid at polyuria,oliguria and anuria,care critical for the children to live through the perioperative periods.
