Acute kidney injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 65 ~ 85 years; 2. Plan for elective laparoscopic surgery, general anesthesia is required; 3. Peripheral artery puncture and catheterization are required and the expected length of operation is >= 2 hours; 4. American Society of Anesthesiologist (ASA) classification I-III.
Exclusion criteria
Exclusion criteria: 1. Use of non-steroidal anti-inflammatory drugs in the past month; 2. Preoperative complicated with severe and difficult to control hypertension (SBP>=180mmhg or DBP>=110mmhg), hypertensive emergency, severe arrhythmia, valve stenosis, severe intracardiac shunt; 3. Acute cardiovascular events, including acute or decompensated heart failure and acute coronary syndrome; 4. Severe liver and kidney function and pulmonary insufficiency, chronic kidney disease CKD >= stage 4 (glomerular filtration rate < 30ml/min/1.73m2 or need renal replacement therapy or end-stage renal disease); 5. Urological surgery, emergency surgery; 6. Preoperative complicated with sepsis or shock state; 7. Preoperative hypotension (MAP < 65mmHg) requires the use of vasoactive drugs to maintain blood pressure, or controlled blood pressure during surgery or maintain blood pressure at a higher level; 8. The participant is participating in another clinical study or refuses to participate in this clinical study; 9. Peripheral vascular disease and contraindications for arterial catheterization; 10. Those who are deemed unsuitable for inclusion by the researcher.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of acute kidney injury; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative hemodynamics;Incidence of intraoperative hypotension;Postoperative complications; | — |
Countries
China
Contacts
Xiangya Hospital, Central South University