Goyal VK, Shekhrajka P, Mittal S. Perioperative considerations in kidney transplantation: An anaesthesiologist’s perspective. World J Transplant 2025; 15(4): 107662 [DOI: 10.5500/wjt.v15.i4.107662]
Corresponding Author of This Article
Vipin K Goyal, MD, Professor, Organ Transplant Anaesthesia and Critical Care, Mahatma Gandhi Medical College and Hospital, RICCO Industrial Area, Sitapura, Jaipur 302022, Rajasthan, India. dr.vipin28@gmail.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Transplant. Dec 18, 2025; 15(4): 107662 Published online Dec 18, 2025. doi: 10.5500/wjt.v15.i4.107662
Perioperative considerations in kidney transplantation: An anaesthesiologist’s perspective
Vipin K Goyal, Praveenkumar Shekhrajka, Saurabh Mittal
Vipin K Goyal, Saurabh Mittal, Department of Organ Transplant Anaesthesia and Critical Care, Mahatma Gandhi Medical College and Hospital, Jaipur 302022, Rajasthan, India
Praveenkumar Shekhrajka, Department of Anaesthesiology, Mahatma Gandhi Medical College and Hospital, Jaipur 302022, Rajasthan, India
Author contributions: Goyal VK and Shekhrajka P contributed to the conceptualization and design of work, drafting of the manuscript; Mittal S collected data and reviewed the manuscript; All authors have read and approved the final manuscript.
Conflict-of-interest statement: Authors declare no conflict of interest in this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Vipin K Goyal, MD, Professor, Organ Transplant Anaesthesia and Critical Care, Mahatma Gandhi Medical College and Hospital, RICCO Industrial Area, Sitapura, Jaipur 302022, Rajasthan, India. dr.vipin28@gmail.com
Received: March 28, 2025 Revised: April 15, 2025 Accepted: May 21, 2025 Published online: December 18, 2025 Processing time: 236 Days and 23.5 Hours
Abstract
Kidney transplant is the treatment of choice for patients with end-stage kidney disease. Meticulous anaesthetic management is the cornerstone of good postoperative patient and graft outcomes. Over the decades, the perioperative strategies for preoperative optimization, fluid management, immunosuppression, haemodynamic monitoring, and pain management keep changing with the inclusion of newer studies. The aim of this review is to update anaesthesia colleagues for recent advancements in perioperative care of patients undergoing kidney transplantation.
Core Tip: Updated knowledge of perioperative anaesthetic management in kidney transplantation is important to adhere with latest advancements in hemodynamic monitoring, fluid management, pain control, and other aspects of anaesthesia care to improve postoperative outcomes. This review comprises the best practices based on recent developments in perioperative care of kidney transplant recipients.
