Abstract
Nephrectomy, the surgical removal of one or both kidneys, is a complex procedure that requires strict control of hemodynamic parameters to ensure the safety and success of the surgery. Therefore, adequate management of anesthesia is crucial to maintain bodily stability, minimizing the risk of intraoperative complications and improving postoperative results. Therefore, anesthetic strategies and intraoperative interventions to optimize hemodynamic control during nephrectomies are extremely important for the best and safest personalized approach for each patient. Objective: To investigate the hemodynamic effects during nephrectomies, with an emphasis on anesthetic management and intraoperative interventions necessary to maintain cardiovascular stability. Methodology: The Cochrane, Scielo and Pubmed databases were used, searching for articles published between 2021 and 2024, in Portuguese or English. Final Considerations: Success in maintaining hemodynamic homeostasis is closely linked to the experience of the surgical and anesthetic team, as well as the implementation of personalized strategies that consider individual clinical conditions. Therefore, effective interventions can significantly reduce the risk of complications and improve postoperative outcomes, emphasizing the importance of an integrated, patient-centered approach to complex procedures such as nephrectomy.
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