Abstract
Introduction: During kidney transplant, monitoring fluid administration is essential to ensure graft function. Transesophageal echocardiography measures the impact of fluids/medications on real time at myocardium. Case Report: A 28-year-old female patient who underwent a kidney transplant with cardiac output resuscitation by transesophageal echocardiography: Initially, the patient presented a hypovolemic profile that responded to crystalloid infusion. By monitoring the cardiac output, fluid accumulation syndrome is avoided, leading to a distributive profile where the state of dynamic overload is physiologically de-escalated after reperfusion. Discusion: Cardiac output-guided resuscitation using transesophageal echocardiography ensures tissue perfusion without fluid accumulation in kidney transplant surgery.
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