EdRenHANDBOOK - Live kideny donor amnagement

Live kidney donor management

Abbreviated medical protocols from EdREN, the website of the Renal Unit of the Royal Infirmary of Edinburgh

Important: Protocol superseded July 2009 - see new version here at www.edren.co.uk.
That website is in development - you can ignore the 'This website is not ready' signs ONLY for the Transplant protocols. Others are not updated or fully transferred.

Live kidney donors should be managed as follows.

	Live kidney donors will be seen at the Transplant Assessment Clinic two weeks prior to the scheduled transplant date.
	Blood samples will be taken at this visit for repeat virology lymphocytotoxic crossmatch advance group and save
	Admission is arranged 24 hours pre-op to the Transplant Unit. In exceptional circumstances if there are no beds available on Ward 206 then a bed will be found for the donor according to the nurse-charge of ward 206 in liaison with the hospital bed-manager.
	On admission the donor should have received a full physical examination; blood pressure; temperature; urinalysis and urine specimen sent to bacteriology.
	No pre-op X-Ray/ECG/ blood tests are necessary unless requested by Consultant.
	Written consent for a nephrectomy should be obtained by the Consultant Transplant surgeon.
	All donors should receive DVT prophylaxis with TED stockings, intra-operative pneumatic compression and heparin. Post-operative: heparin sub-cut 5000u BD.
	Pre-op heparin shoulld not be administered unless the Consultant Anaesthetist specifically requests.
	Post-op fluid management: 4 - 6 hourly dextrose/saline.

Any problems should be reported directly to the Consultant Surgeon.

Transplant protocols developed on the Edinburgh Transplant Unit. This page first published March 2002 by Amit Adlakha, updated in November 2006 and last modified Tuesday, August 11, 2009.

NOTE that the accuracy of any statements in this information CANNOT be guaranteed. It is published in the belief that it is correct, and we endeavour to keep it so - but we do make mistakes. Furthermore, over some subjects there are differing opinions, or differing degrees of certainty. We have usually not attempted to discuss these here because the aim has been to provide an immediate and brief guide. In all areas, prior medical knowledge is assumed. The EdRenHANDBOOK is not suitable for use by those without such a background. Contact us by email or at the address given at the foot of the contents page with any comments or corrections.