학술논문

Lower rate of delayed graft function is observed when epidural analgesia for living donor nephrectomy is administered
Document Type
article
Source
BMC Anesthesiology, Vol 19, Iss 1, Pp 1-9 (2019)
Subject
Kidney transplantation
Delayed graft function
Epidural analgesia
Donor nephrectomy
Anesthesiology
RD78.3-87.3
Language
English
ISSN
1471-2253
Abstract
Abstract Background The beneficial effects of epidural analgesia (EDA) in terms of pain control and postoperative convalescence are widely known and led to a frequent use for patients who underwent living donor kidney nephrectomy. The objective of this study was to determine whether general anesthesia (GA) plus EDA compared to GA only, administered for living donor nephrectomy has effects on postoperative graft function in recipients. Methods In this monocentric, retrospective cohort analysis we analyzed the closed files of all consecutive donor- recipient pairs who underwent living donor kidney transplantations from 2008 to 2017. The outcome variable was delayed graft function (DGF), defined as at least one hemodialysis within seven days postoperatively, once hyperacute rejection, vascular or urinary tract complications were ruled out. Statistical analyses of continuous variables were calculated using the two-tail Student’s t test and Fisher exact test for categorical variables with a significance level of p