Postoperative Acute Kidney Injury After Off-pump Coronary Artery Bypass Graft
Conditions
Brief summary
N-acetylcysteine may prevent acute kidney injury in high risk patients undergoing off-pump coronary artery bypass graft.
Interventions
N-acetylcysteine 150 mg/kg bolus over 15 min after induction of anesthesia, followed by an infusion of 150 mg/kg/day for 24 hrs
Equal volume of normal saline
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing off-pump coronary artery bypass surgery and meets more than one of the following criteria; * preoperative serum creatinine \> 1.4 mg/dl * Age \> 70 years * Diabetes mellitus * left ventricular ejection fraction \< 35 % or congestive heart failure (NYHA III or IV) * emergency surgery or re-operation
Exclusion criteria
* preoperative acute renal failure, patients on dialysis, use of N-acetylcystein within 5 days of surgery, history of hypersensitivity to N-acetylcystein
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of acute kidney injury | within 5 days after surgery |
Countries
South Korea