Roles of Nurse Anesthetists in the Care of Patients Undergoing Laparoscopic Donor Nephrectomy with General Anesthesia
Keywords:
Roles, Nurse anesthetists, General anesthesia, Laparoscopic donor nephrectomyAbstract
Laparoscopic surgery is a widely popular technique and has been continuously developed. Kidney donation surgery by a living kidney donor began in 1995. Later, Ratner and colleagues initiated the first successful laparoscopic kidney donation surgery. Many studies compared the effectiveness of laparoscopic and abdominal incision techniques in patients undergoing kidney donation surgery. The results showed minimized postoperative pain, a short duration of hospital stay, and ability to return to normal activities faster in laparoscopic surgery.
According to statistical data from Ramathibodi Hospital in the past five years (2018-2022), there were a total of 916 kidney transplantations performed, of which 217 kidney transplants were performed by living donors, representing 30% of all kidney transplant surgeries. There were 106 cases of laparoscopic nephrectomy (data from the Organ Transplantation Center of Ramathibodi Hospital). Therefore, living kidney donors are more likely to undergo laparoscopic nephrectomy in the future. Thus, general anesthesia for laparoscopic kidney donation in living donors is important in preoperative, intraoperative and postoperative (perioperative) care processes by anesthesiologists and nurse anesthetists. The laparoscopic surgery technique may disturb many vital organ functions. Close monitoring of vital signs and prevention of complications during the perioperative phase are necessary.
Therefore, the role of a nurse anesthetist who works with anesthesiologists are required to have knowledge and ability to provide care to patients and ensure they will be safe under surgery and anesthesia with no complications and return to their normal daily activities quickly. This article aimed to present the important roles of nurse anesthetists in the care of patients who receive general anesthesia for laparoscopic kidney donation surgery and to provide guidelines for more effective anesthesia in the future.
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