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All Journal Indonesian Journal of Urology Biomedika JURNAL MANAJEMEN TRANSPORTASI & LOGISTIK Syntax Literate: Jurnal Ilmiah Indonesia INTECOMS: Journal of Information Technology and Computer Science Journals of Ners Community BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Nusantara Hasana Journal CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal Journal of Comprehensive Science
Wibisono Wibisono
Center for Isotopes and Radiation Application, National Nuclear Energy Agency, Jl. Lebak Bulus Raya No. 49, Jakarta 12440, Indonesia.
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Other

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A Case Report Highlighting Rapid Graft Function and Structured Perioperative Management in End-Stage Renal Disease Frihadananta, Ridho; Wibisono, Wibisono
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i12.62614

Abstract

Background: Kidney transplantation is the treatment of choice for patients with chronic kidney disease (CKD) that progresses to end-stage renal disease (ESRD). Epidemiological data from the last decade show that the global burden of kidney failure patients receiving renal replacement therapy exceeds 1.4 million and this figure is increasing by about 8% per year. This procedure can improve quality of life and social functioning in patients with ESRD and can reduce treatment costs compared to patients who only do dialysis for the first 3 years after the transplant procedure. The main goal of postoperative care is to ensure stable hemodynamics provide optimal perfusion for the newly transplanted kidney along with good analgesia during the recovery period. Case Presentation: A 43-year-old man who has a history of hypertension and CKD on HD since 2023 (performed routinely HD 2 times a week) underwent kidney transplant surgery. There were no complications after the kidney transplant procedure with serum ureum 39 mg / dL and creatinine 1.4 mg / dL. Discussion: Patients with CKD are eligible for donor kidney transplantation when the eGFR is less than 20 ml/min/1.73m2. Patients with a history of routine HD 2 times a week with serum urea 164 mg / dL, creatinine 18.8 mg / dL, and potassium 6.0 mmol / L preoperatively then after kidney transplantation and postoperative care obtained serum ureum 39 mg / dL, creatinine 1.4 mg / dL, and potassium 4.3 mmol / L. Preoperative preparation and postoperative care in patients with kidney transplantation are critical to the success of the kidney transplant program itself. Conclusion: Kidney transplantation has improved survival and quality of life of patients with end-stage kidney disease.
Co-Authors Al Afghani, Dhian Yusuf Al Din, Sayyid Jamal Andaru, Muhammad Eko Doddy Musbadianto Soebadi Frihadananta, Ridho Handayani, Sri Puzzy Ilham Ramadhan Rina Puspita Sari Riza, Faizal Sabilal Alif Setiabudi, Rachmat Utami Utami Wahyu Gunawan P, Andreas Warsyena, Riska Widodo Pudjirahardjo Wijanarko, Suharjo Winiati Pudji Rahayu Yulianto, Ariska