الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Renal transplantation is one of the treatment methods of patients with end-stage renal disease undergoing hemodialysis. Optimal fluid therapy is very crucial to decrease the incidences of delayed graft function after renal transplantation. Aim: To investigate the efficacy of stroke volume variation (SVV) in predicting fluid responsiveness and comparing it to central venous pressure (CVP) in response to goal directed fluid management during living donor pediatric renal transplantation. Method: The CVP, SVV and TFC were measured as indicator for fluid management in pediatric renal transplantation patients. Results: No significant correlation between CVP and SVV, the presence of weak positive correlation between CVP and stroke Volume Index (SVI), the presence of weak positive correlation between CVP and thoracic fluid content (TFC) and no significant correlation between CVP trending value and each of SVV, SVI and TFC trending values. SVV, SVI and TFC were not able to diagnose CVP>15 cmH2O. Conclusions: SVV is useful in predicting hypovolemia but not hypervolemia in living donor pediatric renal transplantation patients. CVP is still crucial to guide the fluid therapy however other parameters are needed to be involved with CVP in order to more precise fluid management in pediatric renal transplantation patients. |