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Central venous pressure monitoring in living donor kidney recipients does not affect immediate graft function: A propensity score analysis
Author(s) -
Adelmann Dieter,
Bicknell Leonie,
Niemann Claus U.,
Feiner John,
Roll Garrett R.,
Burdine Lyle,
Whitlock Elizabeth L.
Publication year - 2018
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13238
Subject(s) - medicine , central venous pressure , propensity score matching , renal function , kidney transplantation , creatinine , transplantation , cohort , surgery , cohort study , urology , blood pressure , heart rate
Background During kidney transplantation, intraoperative fluid management can affect post‐transplant graft function. It is unclear whether or not central venous pressure ( CVP ) monitoring is required to guide fluid therapy during kidney transplantation. Methods We compared post‐transplant graft function in recipients of living donor kidney transplants between August 2006 and March 2009 based on the use or absence of intraoperative CVP monitoring. Graft function, assessed using the creatinine reduction ratio on postoperative day 2 ( CCR 2), was evaluated by multivariable linear regression analysis and in a propensity‐matched cohort. Results Two hundred and ninety patients were included in the analysis. Central venous pressure was monitored in 84 patients (29%). There was no difference in post‐transplant graft function, as measured by CCR 2, between patients with and without CVP monitoring in both unadjusted and multivariable‐adjusted analyses. There were also no statistically significant differences in CCR 2, delayed graft function, or 3‐month renal function between those monitored with CVP and those without, in the propensity‐matched cohort. Conclusions In this single‐center analysis, immediate post‐transplant renal function was not associated with the use of intraoperative CVP monitoring.