{"id":1453,"date":"2018-09-12T09:04:34","date_gmt":"2018-09-12T09:04:34","guid":{"rendered":"http:\/\/edren.org\/ren\/?page_id=1453"},"modified":"2019-06-08T17:47:05","modified_gmt":"2019-06-08T17:47:05","slug":"transplant-handbook","status":"publish","type":"page","link":"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/","title":{"rendered":"Renal Transplant Handbook"},"content":{"rendered":"<p>Welcome to the Edren <strong>Renal Transplant Handbook<\/strong>. Our handbooks are internal protocols, written for a professional audience; use <a href=\"http:\/\/edren.org\/ren\/edren-info\/\">edren.org\/info<\/a> for more general information. Our other handbooks are: Our <a href=\"http:\/\/edren.org\/ren\/handbook\/unithdbk\/\">Renal Unit Handbook<\/a>, and <a href=\"http:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pancreas-islets\/\">Protocols for Pancreas and Islet transplantation<\/a> (including with kidney, and after kidney).<\/p>\n<p>The first dozen sections below are in approximate time sequence. The remainder deal with issues arising, for consultation as needed:<\/p>\n<div id=\"ccchildpages-1\" class=\"ccchildpages ccflex  simple ccclearfix\"><ul class=\"ccchildpages_list ccclearfix\"><li class=\"page_item page-item-1717\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/transplant-assessment\/\">Transplant assessment<\/a><\/li>\n<li class=\"page_item page-item-3327\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/cardiovascular-assessment-protocol\/\">Cardiovascular assessment protocol<\/a><\/li>\n<li class=\"page_item page-item-1458\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/kidney-offering\/\">Kidney offering<\/a><\/li>\n<li class=\"page_item page-item-1462\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/recipient-call-up\/\">Recipient call up<\/a><\/li>\n<li class=\"page_item page-item-1467\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/when-the-kidney-arrives\/\">When the kidney arrives<\/a><\/li>\n<li class=\"page_item page-item-1476\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/cross-match\/\">Cross match<\/a><\/li>\n<li class=\"page_item page-item-1472 page_item_has_children\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-op-recipient-work-up\/\">Pre-op Recipient Work-up<\/a>\n<ul class='children'>\n\t<li class=\"page_item page-item-1483\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-op-recipient-work-up\/investigations\/\">Investigations<\/a><\/li>\n\t<li class=\"page_item page-item-1498\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-op-recipient-work-up\/communications\/\">Communications<\/a><\/li>\n\t<li class=\"page_item page-item-1504\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-op-recipient-work-up\/other-considerations\/\">Rhesus negative female recipients<\/a><\/li>\n\t<li class=\"page_item page-item-6227\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-op-recipient-work-up\/type-1-diabetic-patients\/\">Type 1 Diabetic Patients<\/a><\/li>\n\t<li class=\"page_item page-item-3876\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-op-recipient-work-up\/consent\/\">Consent<\/a><\/li>\n\t<li class=\"page_item page-item-1480\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-op-recipient-work-up\/full-history-and-examination\/\">Full history and examination<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"page_item page-item-1519\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/pre-operative-management\/\">Pre-operative management<\/a><\/li>\n<li class=\"page_item page-item-6615\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/anticoagulation-protocol\/\">Anticoagulation Protocol<\/a><\/li>\n<li class=\"page_item page-item-1550 page_item_has_children\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppression-protocol\/\">Immunosuppression protocols<\/a>\n<ul class='children'>\n\t<li class=\"page_item page-item-1558\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppression-protocol\/tacrolimus-levels\/\">Tacrolimus levels<\/a><\/li>\n\t<li class=\"page_item page-item-1562\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppression-protocol\/long-term-immunosuppression\/\">Long-term immunosuppression<\/a><\/li>\n\t<li class=\"page_item page-item-1565\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppression-protocol\/steroid-withdrawal-or-avoidance\/\">Steroid withdrawal or avoidance<\/a><\/li>\n\t<li class=\"page_item page-item-6333\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppression-protocol\/imlifidase-enabled-transplantation\/\">Imlifidase enabled transplantation<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"page_item page-item-1568 page_item_has_children\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/\">Immunosuppressive Drugs<\/a>\n<ul class='children'>\n\t<li class=\"page_item page-item-1572\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/basiliximab\/\">Basiliximab<\/a><\/li>\n\t<li class=\"page_item page-item-1575\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/prednisolone\/\">Prednisolone<\/a><\/li>\n\t<li class=\"page_item page-item-1579\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/tacrolimus\/\">Tacrolimus<\/a><\/li>\n\t<li class=\"page_item page-item-1583\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/ciclosporin\/\">Ciclosporin<\/a><\/li>\n\t<li class=\"page_item page-item-1587\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/mycophenolate-mofetil-mmf\/\">Mycophenolate Mofetil MMF<\/a><\/li>\n\t<li class=\"page_item page-item-1590\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/azathioprine\/\">Azathioprine<\/a><\/li>\n\t<li class=\"page_item page-item-1593\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/1593-2\/\">Sirolimus<\/a><\/li>\n\t<li class=\"page_item page-item-1599\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/immunosuppressive-drugs\/atg-anti-thymocyte-globulin\/\">ATG (Anti-thymocyte Globulin)<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"page_item page-item-1514\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/anaesthetic-protocol\/\">Anaesthetic Protocol<\/a><\/li>\n<li class=\"page_item page-item-1524\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/post-op-and-fluids\/\">Post-op and fluids<\/a><\/li>\n<li class=\"page_item page-item-1528\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/in-patient-management\/\">In-patient management post transplant<\/a><\/li>\n<li class=\"page_item page-item-6169\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/eras\/\">ERAS<\/a><\/li>\n<li class=\"page_item page-item-1536\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/management-of-delayed-graft-function\/\">Management of delayed graft function<\/a><\/li>\n<li class=\"page_item page-item-1543\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/management-of-altered-graft-function\/\">Management of altered graft function<\/a><\/li>\n<li class=\"page_item page-item-6248\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/diabetes-mellitus-in-transplant-recipients\/\">Diabetes Mellitus in Transplant Recipients<\/a><\/li>\n<li class=\"page_item page-item-1546\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/renal-transplant-biopsy\/\">Renal transplant biopsy<\/a><\/li>\n<li class=\"page_item page-item-5901\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/abo-incompatible-kidney-transplant-protocol\/\">ABO Incompatible Kidney Transplant Protocol<\/a><\/li>\n<li class=\"page_item page-item-1626 page_item_has_children\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/treatment-of-rejection\/\">Treatment of rejection<\/a>\n<ul class='children'>\n\t<li class=\"page_item page-item-1618\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/treatment-of-rejection\/treatment-of-acute-rejection\/\">Treatment of Acute T-Cell Mediated Rejection<\/a><\/li>\n\t<li class=\"page_item page-item-1623\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/treatment-of-rejection\/treatment-of-acute-antibody-mediated-rejection\/\">Treatment of Acute Antibody Mediated Rejection<\/a><\/li>\n\t<li class=\"page_item page-item-5439\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/treatment-of-rejection\/infection-prophylaxis-after-acute-rejection-treatment\/\">Infection Prophylaxis after Acute Rejection Treatment<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"page_item page-item-1531\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/discharge\/\">Discharge<\/a><\/li>\n<li class=\"page_item page-item-4973\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/ureteric-stent-and-pd-catheter-removal\/\">Ureteric Stent and PD Catheter Removal<\/a><\/li>\n<li class=\"page_item page-item-1678 page_item_has_children\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/outpatient-management\/\">Outpatient Management<\/a>\n<ul class='children'>\n\t<li class=\"page_item page-item-1692\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/outpatient-management\/hyperparathroidism\/\">Hyperparathroidism<\/a><\/li>\n\t<li class=\"page_item page-item-1695\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/outpatient-management\/gout\/\">Gout<\/a><\/li>\n\t<li class=\"page_item page-item-1697\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/outpatient-management\/skin-surveillance\/\">Skin Surveillance<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"page_item page-item-1628 page_item_has_children\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/\">Infection prophylaxis and treatment<\/a>\n<ul class='children'>\n\t<li class=\"page_item page-item-4025\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/vzv\/\">VZV<\/a><\/li>\n\t<li class=\"page_item page-item-1631\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/pneumocystis-jirovecii\/\">Pneumocystis prophylaxis<\/a><\/li>\n\t<li class=\"page_item page-item-3318\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/pneumocytis-jirovecii-pneumonia-pcp-treatment\/\">Pneumocytis jirovecii pneumonia (PCP) treatment<\/a><\/li>\n\t<li class=\"page_item page-item-1650\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/bk-virus\/\">BK Virus<\/a><\/li>\n\t<li class=\"page_item page-item-6225\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/hepatitis-b\/\">Hepatitis B<\/a><\/li>\n\t<li class=\"page_item page-item-5613\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/hep-c-positive-kidneys-for-hep-c-negative-recipients\/\">Hep C positive kidneys for Hep C negative recipients<\/a><\/li>\n\t<li class=\"page_item page-item-1655\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/hepatitis-e-virus\/\">Hepatitis E Virus<\/a><\/li>\n\t<li class=\"page_item page-item-1659\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/cytomegalovirus-cmv\/\">Cytomegalovirus (CMV)<\/a><\/li>\n\t<li class=\"page_item page-item-2553\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/infection-prophylaxis-and-treatment\/immunisations\/\">Immunisations<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"page_item page-item-1711\"><a href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/archived-versions-of-previous-protocols\/\">Archived versions of previous protocols<\/a><\/li><\/ul><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to the Edren Renal Transplant Handbook. Our handbooks are internal protocols, written for a professional audience; use edren.org\/info for more general information. Our other handbooks are: Our Renal Unit Handbook, and Protocols for Pancreas and Islet transplantation (including with kidney, and after kidney). The first dozen sections below are\u2026<\/p>\n<p> <a class=\"continue-reading-link\" href=\"https:\/\/edren.org\/ren\/handbook\/transplant-handbook\/\"><span>Continue reading<\/span><i class=\"crycon-right-dir\"><\/i><\/a> <\/p>\n","protected":false},"author":2,"featured_media":0,"parent":16,"menu_order":113,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-1453","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/1453","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/comments?post=1453"}],"version-history":[{"count":10,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/1453\/revisions"}],"predecessor-version":[{"id":3000,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/1453\/revisions\/3000"}],"up":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/16"}],"wp:attachment":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/media?parent=1453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}