This retrospective matched-cohort study evaluates the feasibility and perioperative impact of tubeless anesthesia (TA) using an LMA instead of endotracheal intubation in kidney transplantation. Among 52 adult recipients, TA significantly reduced intraoperative opioid and neuromuscular blocker requirements and was associated with faster postoperative awakening and fewer airway-related complications. Hemodynamic stability and operative times remained comparable between TA and ETT groups, suggesting the technique does not compromise intraoperative safety.
Notably, TA recipients demonstrated superior 90-day serum creatinine profiles, indicating a potential benefit in early graft performance. These findings highlight TA as a promising alternative to conventional anesthesia, warranting further prospective validation. To explore the full dataset and clinical implications of tubeless anesthesia…
