Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Nephrol. Mar 25, 2026; 15(1): 113474
Published online Mar 25, 2026. doi: 10.5527/wjn.v15.i1.113474
Published online Mar 25, 2026. doi: 10.5527/wjn.v15.i1.113474
Perioperative fluid management in kidney transplantation: What’s new and future directives?
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, Suresh Kumar Bhargava, Department of Anaesthesiology, Mahatma Gandhi Medical College and Hospital, Jaipur 302022, Rajasthan, India
Co-first authors: Vipin K Goyal and Praveenkumar Shekhrajka.
Author contributions: Goyal VK and Shekhrajka P contributed to the conceptualization and design of work, drafting of the manuscript as the co-first authors; Mittal S and Bhargava SK collected data and reviewed the manuscript; all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Vipin K Goyal, MD, Professor, Department of 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: August 27, 2025
Revised: September 23, 2025
Accepted: January 7, 2026
Published online: March 25, 2026
Processing time: 199 Days and 21.8 Hours
Revised: September 23, 2025
Accepted: January 7, 2026
Published online: March 25, 2026
Processing time: 199 Days and 21.8 Hours
Core Tip
Core Tip: Fluid therapy is one of the core domains of intraoperative anaesthesia management in kidney transplantation. Newer advancements in recent years have changed the outlook of intraoperative hemodynamic monitoring, resulting in better transplant outcomes. In this review, we focused on discussing newer indices of fluid responsiveness and their utility in kidney transplant surgery, as well as newer crystalloids and colloids and their impact on metabolic profile and post-transplant graft outcomes.