Remote Ischemic Preconditioning In Abdominal Organ Transplantation

Inclusion Criteria: * All deceased organ donors aged \> 5 years in acute care hospitals in the donor service area of the New Jersey Organ and Tissue Sharing Network (NJTO). DONORS Exclusion Criteria: * Tissue only donors * Age \< 5 years * When it is known before organ recovery that both kidneys will be leaving New Jersey. This may happen in a few instances either because of excellent tissue match with recipients outside New Jersey or in high risk behavior donors where all NJ kidney transplant centers have declined donor kidneys before organ recovery * Deceased donors in whom a decision is made not to recover both kidneys (severe kidney disease, renal failure, etc) * Severe trauma to both lower extremities precluding induction of RIPC RECIPIENTS - KIDNEY Inclusion Criteria: * Patients who receive a kidney from an enrolled donor at one of the five kidney transplant centers in New Jersey, HUH, NBIMC, SBMC, RWJUH and OLMC. No kidney recipients will be enrolled at UH because UH does not perform isolated kidney transplantation. Exclusion Criteria : * All live donor kidney transplants performed at participating kidney transplant centers * Recipients of deceased donor kidneys imported from outside NJTO * Recipients of kidneys from deceased donors \< 5 years of age * Recipients of combined liver and kidney transplantation, which are performed only at UH and OLMC. The numbers of such transplants are very few per year (\<5). Also, the clinical and pathophysiological issues are…