Transplant Procedure

After a suitable donor kidney has been obtained and the histocompat-ibility has confirmed the absence of a serologic crossmatch reaction, the transplant recipient is notified. Blood samples are sent for routine investigations. If the International Normalised Ratio (INR) is greater than two, anti-coagulation is reversed with fresh frozen plasma. At least two units of crossmatch negative packed red blood cells are ordered. This also applies to the donor procedure. Blood transfusion in the donor is very unusual and more likely in the recipient in view of the uraemic status.

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