Management of delayed graft function
Not all kidneys function immediately and some take a few days or even weeks before functioning. During this time the aim is to ensure that we are not missing concomitant rejection or other reversible injury during this time.
- Duplex scan
- Routine immunosuppression. Aim for low level of tacrolimus (5-7) if low immunological risk.
- If no evidence of improvement then biopsy to exclude rejection.
- Repeat Duplex/biopsy.
Treat rejection as per protocol (page 27-28)
- In cases of prolonged delayed graft function, additional biopsies may be required.
- If haemodialysis is required, NO ANTICOAGULATION must be used during the first post-operative week.