The New Kidney Donor Allocation System and Implications for Anesthesiologists

Research output: Contribution to journalArticle

Srikanth Sridhar, Sara Guzman-Reyes, Sam D. Gumbert, Semhar J. Ghebremichael, Angelina R. Edwards, Mark J. Hobeika, Wasim A. Dar, Evan G. Pivalizza

Given potential disparity and limited allocation of deceased donor kidneys for transplantation, a new federal kidney allocation system was implemented in 2014. Donor organ function and estimated recipient survival in this system has implications for perioperative management of kidney transplant recipients. Early analysis suggests that many of the anticipated goals are being attained. For anesthesiologists, implications of increased dialysis duration and burdens of end-stage renal disease include increased cardiopulmonary disease, challenging fluid, hemodynamic management, and central vein access. With no recent evidence to guide anesthesia care within this new system, we describe the kidney allocation system, summarize initial data, and briefly review organ systems of interest to anesthesiologists. As additional invasive and echocardiographic monitoring may be indicated, one consideration may be development of a dedicated anesthesiology team experienced in management and monitoring of complex patients, in a similar manner as has been done for liver transplant recipients.

Original languageEnglish (US)
Pages (from-to)223-228
Number of pages6
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume22
Issue number2
DOIs
StatePublished - Jun 1 2018

PMID: 28868984

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The New Kidney Donor Allocation System and Implications for Anesthesiologists. / Sridhar, Srikanth; Guzman-Reyes, Sara; Gumbert, Sam D.; Ghebremichael, Semhar J.; Edwards, Angelina R.; Hobeika, Mark J.; Dar, Wasim A.; Pivalizza, Evan G.

In: Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 22, No. 2, 01.06.2018, p. 223-228.

Research output: Contribution to journalArticle

Harvard

Sridhar, S, Guzman-Reyes, S, Gumbert, SD, Ghebremichael, SJ, Edwards, AR, Hobeika, MJ, Dar, WA & Pivalizza, EG 2018, 'The New Kidney Donor Allocation System and Implications for Anesthesiologists' Seminars in Cardiothoracic and Vascular Anesthesia, vol. 22, no. 2, pp. 223-228. https://doi.org/10.1177/1089253217728128

APA

Sridhar, S., Guzman-Reyes, S., Gumbert, S. D., Ghebremichael, S. J., Edwards, A. R., Hobeika, M. J., ... Pivalizza, E. G. (2018). The New Kidney Donor Allocation System and Implications for Anesthesiologists. Seminars in Cardiothoracic and Vascular Anesthesia, 22(2), 223-228. https://doi.org/10.1177/1089253217728128

Vancouver

Sridhar S, Guzman-Reyes S, Gumbert SD, Ghebremichael SJ, Edwards AR, Hobeika MJ et al. The New Kidney Donor Allocation System and Implications for Anesthesiologists. Seminars in Cardiothoracic and Vascular Anesthesia. 2018 Jun 1;22(2):223-228. https://doi.org/10.1177/1089253217728128

Author

Sridhar, Srikanth ; Guzman-Reyes, Sara ; Gumbert, Sam D. ; Ghebremichael, Semhar J. ; Edwards, Angelina R. ; Hobeika, Mark J. ; Dar, Wasim A. ; Pivalizza, Evan G. / The New Kidney Donor Allocation System and Implications for Anesthesiologists. In: Seminars in Cardiothoracic and Vascular Anesthesia. 2018 ; Vol. 22, No. 2. pp. 223-228.

BibTeX

@article{c0458fd3e937484e892f5481cd579746,
title = "The New Kidney Donor Allocation System and Implications for Anesthesiologists",
abstract = "Given potential disparity and limited allocation of deceased donor kidneys for transplantation, a new federal kidney allocation system was implemented in 2014. Donor organ function and estimated recipient survival in this system has implications for perioperative management of kidney transplant recipients. Early analysis suggests that many of the anticipated goals are being attained. For anesthesiologists, implications of increased dialysis duration and burdens of end-stage renal disease include increased cardiopulmonary disease, challenging fluid, hemodynamic management, and central vein access. With no recent evidence to guide anesthesia care within this new system, we describe the kidney allocation system, summarize initial data, and briefly review organ systems of interest to anesthesiologists. As additional invasive and echocardiographic monitoring may be indicated, one consideration may be development of a dedicated anesthesiology team experienced in management and monitoring of complex patients, in a similar manner as has been done for liver transplant recipients.",
keywords = "allocation, anesthesia, kidney, organ, transplantation",
author = "Srikanth Sridhar and Sara Guzman-Reyes and Gumbert, {Sam D.} and Ghebremichael, {Semhar J.} and Edwards, {Angelina R.} and Hobeika, {Mark J.} and Dar, {Wasim A.} and Pivalizza, {Evan G.}",
year = "2018",
month = "6",
day = "1",
doi = "10.1177/1089253217728128",
language = "English (US)",
volume = "22",
pages = "223--228",
journal = "Seminars in Cardiothoracic and Vascular Anesthesia",
issn = "1089-2532",
publisher = "SAGE Publications Inc.",
number = "2",

}

RIS

TY - JOUR

T1 - The New Kidney Donor Allocation System and Implications for Anesthesiologists

AU - Sridhar, Srikanth

AU - Guzman-Reyes, Sara

AU - Gumbert, Sam D.

AU - Ghebremichael, Semhar J.

AU - Edwards, Angelina R.

AU - Hobeika, Mark J.

AU - Dar, Wasim A.

AU - Pivalizza, Evan G.

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Given potential disparity and limited allocation of deceased donor kidneys for transplantation, a new federal kidney allocation system was implemented in 2014. Donor organ function and estimated recipient survival in this system has implications for perioperative management of kidney transplant recipients. Early analysis suggests that many of the anticipated goals are being attained. For anesthesiologists, implications of increased dialysis duration and burdens of end-stage renal disease include increased cardiopulmonary disease, challenging fluid, hemodynamic management, and central vein access. With no recent evidence to guide anesthesia care within this new system, we describe the kidney allocation system, summarize initial data, and briefly review organ systems of interest to anesthesiologists. As additional invasive and echocardiographic monitoring may be indicated, one consideration may be development of a dedicated anesthesiology team experienced in management and monitoring of complex patients, in a similar manner as has been done for liver transplant recipients.

AB - Given potential disparity and limited allocation of deceased donor kidneys for transplantation, a new federal kidney allocation system was implemented in 2014. Donor organ function and estimated recipient survival in this system has implications for perioperative management of kidney transplant recipients. Early analysis suggests that many of the anticipated goals are being attained. For anesthesiologists, implications of increased dialysis duration and burdens of end-stage renal disease include increased cardiopulmonary disease, challenging fluid, hemodynamic management, and central vein access. With no recent evidence to guide anesthesia care within this new system, we describe the kidney allocation system, summarize initial data, and briefly review organ systems of interest to anesthesiologists. As additional invasive and echocardiographic monitoring may be indicated, one consideration may be development of a dedicated anesthesiology team experienced in management and monitoring of complex patients, in a similar manner as has been done for liver transplant recipients.

KW - allocation

KW - anesthesia

KW - kidney

KW - organ

KW - transplantation

UR - http://www.scopus.com/inward/record.url?scp=85046824042&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85046824042&partnerID=8YFLogxK

U2 - 10.1177/1089253217728128

DO - 10.1177/1089253217728128

M3 - Article

VL - 22

SP - 223

EP - 228

JO - Seminars in Cardiothoracic and Vascular Anesthesia

T2 - Seminars in Cardiothoracic and Vascular Anesthesia

JF - Seminars in Cardiothoracic and Vascular Anesthesia

SN - 1089-2532

IS - 2

ER -

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