Kidney Transplantation: Principles and Practice (Morris, Kidney Transplantation): Medicine & Health Science Books @ nbafinals.info download Kidney Transplantation - 6th Edition. Print Book. ISBN . Renal Transplantation has been written for use by trainees, doctors and nurses that are exposed to renal transplant patients and their donors.
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About this book. With the increased prevalence of kidney transplantation, transplant recipients are being treated in a variety of clinical settings – often beyond the. With meticulous updates throughout, Kidney Transplantation remains your definitive medical resource for state-of-the-art. Despite significant accomplishments to date, kidney transplantation is a relatively young field in medicine. Due to This book covers basic co.
Extensive tables and figures and comprehensive lists of references with each chapter enhance its value to the transplant team. A multidisciplinary approach from internationally renowned contributors from around the world—many new to this edition—offers practice-applicable guidance for all members of the transplant team, with coverage encompassing applied science, clinical information, and surgical procedures.
This 6th edition remains the balanced reference you need to stay apprised of issues important to successful kidney transplantation. Key Features Provides a comprehensive description of surgical techniques, immunosuppressive methods, outcomes, risks, and medical considerations related to kidney transplantation, both in adults and children, in one convenient reference.
Presents more than superb illustrations—50 in full color—that demonstrate key concepts and nuances of techniques. Features a multidisciplinary approach from contributors from around the world—many new to this edition—offers practice-applicable guidance for all members of the transplant team, with coverage encompassing applied science, clinical information, and surgical procedures.
Offers evidence-based decision making advice in renal transplantation—supported by a wealth of data in chapters written by internationally recognized experts—to help you make the most informed clinical decisions.
Immunology of Graft Rejection, Margaret Dallman 3. Ko and Frank Delmonico 8. Donor Nephrectomy A. Your nurse will give you a copy of this on request.
A kidney transplant is undoubtedly the best long-term treatment for patients who have developed irreversible kidney disease. While this sounds very daunting at first, the procedure is performed, fairly frequently, with excellent longterm results. However a kidney transplant is not for everyone.
Very elderly patients, or those with significant problems such as heart or lung disease, might not be medically suitable to undergo transplantation. Your team will discuss the best options for you. The Transplant Process To receive a kidney transplant you must be in reasonable general health apart from kidney disease.
To determine your health, you will need to undergo a complete medical evaluation. This will be undertaken by your own kidney team and will include an extensive list of blood tests, including tissue typing bloods, hepatitis B test, HIV test and many others.
There will also be a test of your kidneys and cardiac function. Once these tests are completed, your kidney team will refer you to Beaumont Hospital where you will be asked to come and meet the Beaumont transplant team.
At this visit, the pros and cons of a kidney transplant will be discussed. You will be given the opportunity to discuss any issues you have at this point. If all your test results are acceptable, you will be placed on the kidney transplant waiting pool.
It is very important that, while you are on the transplant waiting pool, you remain contactable.
A suitable kidney may become available at any time of the day or night. You must let the transplant co-ordinators know if you are away or change your contact details. While you are on the transplant waiting pool, you must send blood samples to the transplant laboratory, at Beaumont, at least every 3 months. If you are on dialysis, this will probably be done automatically for you but, if you are not yet on dialysis, you will be sent a letter to organise an appointment for you to have your bloods taken.
If these blood samples are not kept up-to-date, your name will be suspended from the transplant waiting pool. When you receive a call, regarding the possibility of a suitable transplant, it is of vital importance to travel to Beaumont Hospital as quickly as possible. You will be asked to fast from that point.
You will go to St. Damiens Ward on the 4th floor. In St. Damiens you will again undergo many different blood tests, x-rays and heart monitor, etc. You will also be seen by the surgeon and anaesthetist. Only after all these evaluations are available will the final decision be made to go ahead with the transplant.
In some situations, the cross-match test will come back positive, which means that this kidney is not suitable for you. This can be extremely difficult and disappointing for you and your family. The kidney team will be there to support you, through this time, in the hope that a better match for you appears next time.
The Transplant Operation If the kidney is making lots of urine and the serum creatinine is falling, it implies that the kidney is functioning well.
The good news is that the vast majority of rejection episodes respond to this treatment. Kidneys for transplantation can be: Cadaveric donors Cadaveric Kidney Transplantation At present, in Ireland, this is the commonest form of kidney transplant.
A person who has had an irreversible brain injury, usually from an accident or brain haemorrhage, becomes a kidney donor. The brain stem is responsible for the capacity for consciousness.
If brain stem is irreversibly damaged, this constitutes brain stem death, which constitutes death of the person. The donor is taken to theatre, where their kidneys and frequently many other organs are removed for transplant purposes.
The problem with this approach is that there are far more patients in need of a kidney transplant than there are kidneys for transplant available. The average waiting time for a kidney transplant is two, to two and a half years, although there can be enormous variation, with some patients waiting less than 6 months and some patients waiting more than 5 years because of the difficulty of matching the new kidney to particular needs.
To access the transplant list, fairly strict rules are in place. Priority is given to patients with a perfect match between the donor and recipient. After that, the major criterion used to allocate kidneys is the length of time patients have been waiting.
Children are also prioritised, and patients with very difficult life-threatening clinical situations occasionally are considered as priority.