Kidney-Pancreas Transplant
- Access
- PIV x2 large, central line (thymo) +/- post-induction arterial line
- Airway
- Oral ETT
- Induction
- Standard
- Maintenance
- Gas and paralytic
- Emergence
- Awake
- Antibiotics
- Cefazolin
- Position
- Standard
- Immunosuppressant
- Methylprednisolone (500 mg IV), diphenhydramine (Benadryl) (25 mg IV), thymoglobulin (central formulation, 0.22 micrometer filter), mycophenolate mofetil (CellCept) (750 mg)
- Diuretic
- Mannitol 12.5-25 g IV, furosemide 40-100 mg IV at surgeon request
- Octreotide
- 100 mcg IV over 30 minutes at beginning of pancreas anastomosis
- Fluid Management
- Monitor CVP
Notes
See above.