Health Condition 1: K745- Biliary cirrhosis, unspecified Health Condition 2: K740- Hepatic fibrosis Health Condition 3: K746- Other and unspecified cirrhosis ofliver Health Condition 4: K743- Primary biliary cirrhosis Health Condition 5: K744- Secondary biliary cirrhosis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of age 18 to 65 years who will be undergoing Living Donor Liver Transplantation in Institute of Liver and Biliary sciences during the study period.
Exclusion criteria
Exclusion criteria: patient refusal, acute liver failure patients undergoing liver transplant, patients with pre-op Hepatorenal syndrome or Acute Kidney Injury in last 7 days or chronic renal failure, patients with renal artery stenosis, refractory ascites, patients undergoing redo-LDLT for graft failure and patients with poor echogenicity - inability to view kidney by ultrasound.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine whether preoperative and elevated postoperative Renal Resistive Index (RRI) predicts the post liver transplant Acute Kidney InjuryTimepoint: Renal Resistive Index will be done on the day before surgery and on post-operative day 1 and 2. patient will be followed up upto 14 days for any development of AKI. | — |
Secondary
| Measure | Time frame |
|---|---|
| To study the effect of MELD Na score, duration of surgery, duration of warm and cold ischaemia time, blood loss and transfusion, amaount and type of fluid replacement, duration of IVC cross clamp, post reperfusion syndrome on the incidence of AKI. To find the incidence of AKI following liver transplant. To assess the ability of percentage RI to predict postoperative AKI. To determine the cut off value of postoperative RRI to predict AKI. TO find the inter-observer variablity of RRITimepoint: 14 days | — |
Countries
India
Contacts
Institute of Liver and Biliary Sciences