Cuidados perioperatórios em transplante de pâncreas

Abstract

Insulin dependent diabetics are susceptible to high rates of secondary complications. Pancreas transplantation began at the University of Minnesota in 1966, with high failure rates. However, recently, this procedure has obtained better results, in conjunction with other organ transplants. In this paper, the etiology, pathophysiology, risk factors, surgical technique and the management of pre, intra and postoperative anesthetic management in the recipient of pancreas transplantation will be addressed. Objective: Objectively approach the transplantation of pancreas, its indications and modalities, focusing on perioperative anesthetic management and standardizing its conducts. Method: Bibliographic search in Scielo, Pubmed, BVS and Lilacs periodical sites for keywords, as well as in current classical literature. Result: Greater uniformity in anesthetic conducts and supply of an objective source of research and protocol of conducts directed to the practice of anesthesia in the transplantation of pancreas. Conclusion: Anesthesia in pancreas transplantation requires experience, technical skills and specific knowledge for its correct management, aiming at the best prognosis for the patient.