None listed
Conditions
Brief summary
The development of renal failure is one of the major causes of morbidity and mortality after CABG surgery. Preoperative cystatin C levels in bypass surgery have been shown to be associated with postoperative renal failure development. One of the most important intraoperative risk factors for the development of renal failure is duration of operation and cross clamp time. Our aim is to determine the effect of the duration of operation and cross-clamp time on early-onset renal failure in patients undergoing CABG surgery by measuring cystatin C levels.
Interventions
1-2 µg / kg of fentanyl, 2-3 mg / kg of propofol and 0.6 mg / kg of rocuronium will be administered intravenously during induction of anesthesia. After 2 minutes the patient will be intubated. Central vein catheterization will be performed from right jugular vein. At this time, 5 ml of blood will be taken for cystatin C level and sent to the laboratory. Anticoagulation with 300 IU / kg heparin will be administered intravenously to enter the cardiopulmonary bypass. ACT (activated clotting time) values will be checked with ACT measurement device by periodic measurements for 30 minutes until cardiopulmonary bypass is stopped and cannulas are withdrawn. Hourly urine output, mediastinal drainage volume, duration of extubation will be noted. Blood samples for hemogram, BUN, creatine and cystatin C measurements will be taken at the 2nd and 24th hours postoperatively and sent to the laboratory. Blood samples taken for cystatin C will be stored at -80 ° C until assay time after centrifugation. Anesthesists will perform processes in the operating room and intensive care unit. Bioscience specialist will perform the processes in the laboratory Bypass operation will last for almost 3-4 hours and in intensive care unit hourly urine output, mediastinal drainage volume, duration of extubation, intraoperative and postoperative blood and blood product amounts given in the first 24 hours will be noted by anesthesists.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients undergoing coronary artery bypass graft surgery, Patients with normal renal function, elective surgery
Exclusion criteria
emergent surgery, pregnancy, patients undergoing heart valve surgery, diabetic nephropathy