Renal transplantation has brought improved survival and quality of life to patients with end-stage renal disease (ESRD). In 2015, nearly 85,000 renal transplantation were performed worldwide (http://www.transplant-observatory.org/download/newsletter-2017/. Accessed 7 Nov 2018). Renal transplant recipients are immunocompromised, have residual renal dysfunction along with cardiovascular comorbidities, and are at high risk of acute illnesses requiring ICU admission (Fig. 1). Here, we highlight ten important principles when caring for transplant patients in ICU, outside the immediate post-transplant period.
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