دورية أكاديمية
A survey of the anesthetic management of pediatric kidney transplantation in France
| العنوان: | A survey of the anesthetic management of pediatric kidney transplantation in France |
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| المؤلفون: | Marsac, Lucile, Michelet, Daphné, Sola, Chrystelle, Didier‐vidal, Anne, Combet, Sylvie, Blanc, Frédéric, Orliaguet, Gilles, Aubineau, Jean‐vincent, Julien‐marsollier, Florence, Brasher, Christopher, Dahmani, Souhayl |
| المساهمون: | Hôpital Robert Debré Paris, Hôpital Robert Debré, Centre Hospitalier Régional Universitaire Montpellier (CHRU Montpellier), Institut de Génomique Fonctionnelle (IGF), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Hôpital Pellegrin, CHU Bordeaux-Groupe hospitalier Pellegrin, Hôpital Femme Mère Enfant CHU - HCL (HFME), Hospices Civils de Lyon (HCL), Service de pédiatrie multidisciplinaire Hôpital de la Timone Enfants - APHM, Hôpital de la Timone CHU - APHM (TIMONE), Hôtel-Dieu de Nantes, AP-HP Hôpital universitaire Robert-Debré Paris, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) |
| المصدر: | ISSN: 1397-3142. |
| بيانات النشر: | HAL CCSD Wiley |
| سنة النشر: | 2019 |
| المجموعة: | Université de Montpellier: HAL |
| مصطلحات موضوعية: | [SDV]Life Sciences [q-bio] |
| الوصف: | International audience ; BACKGROUND:Renal transplantation is the best available therapeutic option for end-stage renal failure in both children and adults. However, little is known about anesthetic practice during pediatric renal transplantation.MATERIAL AND METHODS:The study consisted of a national survey about anesthetic practice during pediatric renal transplantation in France. French tertiary pediatric centers performing renal transplants were targeted, and one physician from each team was asked to complete the survey. The survey included patient data, preoperative assessment and optimization data, and intraoperative anesthesia data (drugs, ventilation, and hemodynamic interventions).RESULTS:Twenty centers performing kidney transplantation were identified and contacted to complete the survey, and eight responded. Surveyed centers performed 96 of the 122 pediatric kidney transplantations performed in France in 2017 (79%). Centers consistently performed echocardiography and ultrasound examinations of the great veins preoperatively and consistently employed esophageal Doppler cardiac output estimation and vasopressors intraoperatively. All other practices were found to be heterogeneous. Central venous pressure was monitored in six centers, and dopamine was administered perioperatively in two centers.CONCLUSIONS:The current study provides a snapshot of the perioperative management of pediatric kidney transplantation in France. Results emphasize the need for both standardization of practice and awareness of recent evidence against the use of CVP monitoring and dopamine infusions. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-02399674; https://hal.science/hal-02399674Test |
| DOI: | 10.1111/petr.13509 |
| الإتاحة: | https://doi.org/10.1111/petr.13509Test https://hal.science/hal-02399674Test |
| رقم الانضمام: | edsbas.E25A020C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/petr.13509 |
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