Comparison Of Postoperative Complications Of Allograft Renal Transplantation Under General Anesthesia With Two Different Airway Management Methods

Objective: The objective of this study is to compare the incidence andtype of postoperative complications of allograft renal transplantationunder different airway management methods. Discussing the correlationbetween airway management methods and postoperative complications.To optimize the measures of anesthesia and establish a good foundationfor the prognosis.Method:686patients, ASAⅡ~Ⅲ,aged15~65years old, who hadaccepted the allograft kidney transplantation,are divided into twogroups.Group A: general anesthesia with laryngeal mask. Group B:general anesthesia with tracheal intubation. Review the medicalrecord,record the types and the incidence of postoperative complications,HR, MAP, BIM, Age. Comparing the difference between A and B in theabove aspects.Result:1. Compared with group A, the incidence of catheter-relatedcomplications was significantly higher in group B (P <0.05).2. Compared with group A, the incidence of postoperative pneumonia and upper respiratory tract infection were significantly higher ingroup B (P <0.05).3. Compared with group A, the patients in group B didn’t have a goodcontrol of blood pressure (P <0.05).4. Patients with immune rejection is denoted as group①, the rest isdenoted as group②. The incidence of pneumonia in group①（25.00%） is higher than group②（4.10%）(P <0.05).5. In group B,the patients who are older than55years have a higherincidence （30.23%） of respiratory infections than group A(14.39%)(P<0.05). In group A,there was no difference.6. There is no significant difference between group A and group B in theincidence of acute immune rejection reaction, upper gastrointestinalbleeding, liver function abnormalities,fever，Wound infection, urinarytract infection and Heart failure.Conclusion:This study suggests that: Patients who underwent allograftrenal transplantation have been suffering from cardiovascular diseasesand liver/kidney dysfunction.It can reduce the intubation-relatedcomplications and the postoperative incidence of respiratory infection ifuse laryngeal mask, especially for older ones. It is of extreme importanceto the recovery of graft function, and be helpful for the early recovery and prognosis of patients.