Transplantation proceedings
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Reactive oxygen species are believed to be responsible for organ injury after reperfusion. We evaluated serial changes in lipid peroxide (LPO) as an oxidative stress marker after kidney transplantation and investigated its effects on graft function. ⋯ Oxidative stress showed a significant impact on graft function in the immediate posttransplant period.
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The aim of this study was to analyze risk factors for delayed graft function (DGF) after deceased donor kidney transplantation and to compare the clinical outcomes of non-DGF versus DGF recipients. ⋯ The independent risk factors for DGF were the cause of brain death, the terminal creatinine level, and the recipient age. In deceased donor kidney transplantation, DGF may have less effect on long-term patient and graft survivals.
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Yttrium-90 microspheres radioembolization (Y90-RE) has been recently introduced as promising modality of treatment in patients with hepatocellular carcinoma (HCC) who are not otherwise candidates for local ablation, surgical resection, or liver transplantation (OLT). However, its use in downstaging HCC or as a bridge for OLT is still unclear. Herein, we have presented a case where Y90-RE was used to both downstage and to serve as a bridge for OLT. ⋯ The use Y90-RE in HCC may be useful for downstaging or as a bridge to liver transplantation.
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To retrospectively evaluate postoperative morphine requirements in healthy living donors undergoing partial hepatectomy and patients with end-stage hepatocellular carcinoma or end-stage liver disease undergoing liver transplantation. ⋯ Although others have reported decreased morphine requirements on PODs 1, 2, and 3, our results indicated that morphine requirements were significantly less only on POD 1.
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Increasing the participation of intensive care unit nurses to promote deceased donor organ donation.
Intensive care unit (ICU) nurses are viewed to have an important role in identifying potential donors to increase the donor pool. Our objectives were to assess their knowledge about organ donation, their attitudes concerning their presumed role in organ donation, and their motivation toward a more prominent role by 3 questionnaires administered before and after training on promotion of organ donation. ⋯ Active participation of ICU nurses in the identification of potential deceased donor organs and their direct participation in organ procurement though continuous re-education and video- illustrated lectures may promote an increased number of deceased donor organs.