Anaesthetic challenges in the management of renal transplant recipients - An institutional review.


  • Salman Shazad Pakistan Kidney and Liver Institute and Research Center, Lahore (PKLI & RC).
  • Shahbaz Hussain PKLI & RC.
  • Tahira Younas PKLI & RC.
  • Yasir Bashir Butt PKLI & RC.
  • Hamza Ali Bukhari PKLI & RC.
  • Sharib Khalid PKLI & RC.
  • Ghulam Haider Ali PKLI & RC.
  • Eitzaz Ud Din PKLI & RC.



Chronic Kidney Diseases, End-Stage Renal Disease, General Anesthesia, Kidney Transplantation, Living Donors, Perioperative Period, Preoperative Care, Renal Transplantation


Objective: To provide an overview of our institutional experience with anaesthetic management of renal transplant data in terms of demographics, preoperative status, anaesthesia management, and postoperative care. Study Design: Descriptive study. Setting: Pakistan Kidney and Liver Institute and Research Center, Lahore. Period: January 2022 to June 2022. Material & Methods: This descriptive study included 203 cases of renal transplant. We reviewed the medical records of these patients for demographics, preoperative anaesthetic assessment, intraoperative anaesthesia records, and postoperative care unit notes. Data was analyzed using SPSS Version 25. Results: The mean age of the patients was 35.75 + 10.1 years, and most of the patients had co-morbidities. The preoperative echocardiographic findings were significant in 52.7% of the patients, and 87.2% were on dialysis preoperatively. General anaesthesia was used in 99.5% of cases. Mean volume of intravenous fluid was 5.8 L, and 9.35% required ionotropic support, 9.9% received transfusion intraoperatively while 3.9% required postoperative mechanical ventilation. Conclusions: Renal transplant recipients have significant co-morbidities and require a meticulous approach for successful perioperative anaesthetic management.

Author Biographies

Salman Shazad, Pakistan Kidney and Liver Institute and Research Center, Lahore (PKLI & RC).

MBBS, FCPS, FCAI, EDAIC, Consultant Anesthesiologist Anesthesia, 

Shahbaz Hussain, PKLI & RC.

MBBS, FCPS, Consultant Anesthesiologist Anesthesia, 



Tahira Younas, PKLI & RC.

MBBS, FCPS, Senior Registrar Anesthesia, 



Yasir Bashir Butt, PKLI & RC.



MBBS, MS, Senior Registrar Anesthesia, 

Hamza Ali Bukhari, PKLI & RC.



MBBS, FCPS, FCAI, Senior Registrar Anesthesia, 

Sharib Khalid, PKLI & RC.



MBBS, FCPS, Registrar Anesthesia, 

Ghulam Haider Ali, PKLI & RC.



MBBS, Medical Officer Anesthesia, 

Eitzaz Ud Din, PKLI & RC.

MBBS, FCPS, Chairman Anesthesia,