Unlocking Insights: A Survey on Perioperative Hemodynamic Monitoring in Kidney Transplantation Across India

Objective: Across the globe, kidney transplant is the most frequently performed transplant surgery. Suboptimal hemodynamic monitoring in the perioperative period results in poor graft and patient outcomes. This survey was conducted to unveil hemodynamic monitoring practices at various kidney transplant centers in India. Methods: Transplant centers in India were contacted to conduct this online survey. The head of the anaesthesiology team provided feedback on their center’s perioperative hemodynamic monitoring practices, which was gathered in a predesigned Google form. Results: Out of the 41 centers contacted, 26 (63%) responded to our request. Of them, 69.2% were private hospitals and 30.8% were government institutions. In 2022, 1590 transplants were completed at these centers. For perioperative care, transplant facilities had a 24 by 7 dedicated anesthesia team, general anesthesia team, and morning-only team. Central venous pressure was the most often used hemodynamic monitor during kidney transplants (73%). Conclusion: In India, hemodynamic monitoring during kidney transplantation is still determined by conventional, static measures. It is necessary to include advanced dynamic indices to improve patient and graft outcomes.