Renal support

Episodes of hypotension can precipitate acute tubular necrosis and reduce graft survival. A donor urine output of less than 100 ml/h in the hour preceding nephrectomy has been shown to be associated with an increased incidence of acute tubular necrosis in the transplanted kidney. Some suggest that if urine output is low, despite an adequate circulating volume and perfusion pressure, a low-dose dopamine infusion should be administered. If this fails to produce a diuresis, small intravenous doses of furosemide (frusemide) (10 mg) or a furosemide infusion may be given. Administration of mannitol (0.5 g/kg) 1 h before harvest has been recommended.

Sleep Apnea

Sleep Apnea

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