Kidney Transplantation in Infants and Children October 5, 2017 Sarajevo Burak Kocak, MD Assoc. Prof. of Urology and Organ Transplantation
Memorial Sisli Hospital, Deputy Chief, Organ Transplantation Center Istanbul, Turkey
Burak Kocak, MD
Kidney Transplantation Rate (Pmp)
*USRDS 2011 data, http://www.usrds.org
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Kidney Transplantation 18000 16000
768
810
765
892
893
796
773
867
748
756
14000 12000 10000 Pediatric Adult
8000 6000 4000 2000 0
•April 1, 2012: ♯ of pts on the waiting list: 91.555 *OPTN 2012 data, http://optn.transplant.hrsa.gov
Burak Kocak, MD
NO OF PTS ON DIALYSIS PER AGE AGE
NO OF PATIENTS
TOTAL
100,045
70 mmHg (Dopamine infusion) (24-48 hrs) •Aspirin 1mg/kg
Burak Kocak, MD
Fluid challenge • Expected u/o: 2 ml/kg/hr • Fluid types: 0-200 cc: 1/3 NS, • > 200 cc: 0.45% NS • 0-200 cc: 0.45% NS-5% Dext, • > 200 cc: 0.9% NS • Bolus: 10-15 ml/kg, NS or 5% Albumin • 150-200% of maintenance fluids should be started as oral fluids (400ml/m2/day) Burak Kocak, MD
Burak Kocak, MD
PO Day 1
Burak Kocak, MD
Burak Kocak, MD
15 months old, F, BW:7.7kg, Height:72cm
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
24 months old, M, BW:8.2kg, Height:75cm
Burak Kocak, MD
210 gr
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
•Respiratory compromise
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
12 months old, F, BW:11kg, Height:74cm
Burak Kocak, MD
Burak Kocak, MD
200gr
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
• Respiratory problems • Tense abdomen • Prolonged postoperative ileus
Accommodation
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
•2.5 years old, 9.5 kg, 74 cm Burak Kocak, MD
Burak Kocak, MD
•2 years old, 10 kg, 80 cm
Burak Kocak, MD
18 months old, M, BW:7kg, Height:74cm
Burak Kocak, MD
18 months old, M, BW:7kg, Height:68cm
Burak Kocak, MD
Burak Kocak, MD
Burak Kocak, MD
13 months old, M, BW:8.8kg, Height:72cm
Burak Kocak, MD
21 months old, M, BW:7.2kg, Height:72cm
Burak Kocak, MD
6 months old, M, BW:6.5kg, Height:68cm
Burak Kocak, MD
Burak Kocak, MD
