Acute Kidney Injury, Chronic Kidney Disease, End Stage Kidney Disease, Liver Disease
Conditions
Keywords
Acute Kidney Injury, Continuous Renal Replacement Therapy, Liver Transplant
Brief summary
To evaluate the efficacy of continuous renal replacement therapy (CRRT) during orthotopic liver transplantation (OLT) in clearing excess solutes and improving acid-base parameters. The investigators hypothesize that the use of intra-operative CRRT in OLT recipients is associated with increased solute removal and improved acid-base statues when compared to controls who do not receive CRRT
Detailed description
as above
Interventions
Liver transplant recipients receiving continuous renal replacement therapy for duration of liver transplant surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 or older and able to sign consent (or surrogate) * Receiving liver or combined liver-kidney transplant * eGFR \< or equal to 40 ml/min immediately prior to transplant or currently on any form of renal replacement therapy for acute kidney injury or end-stage renal disease * Pre-operative potassium of \< or equal to 5.5 mEq/L
Exclusion criteria
* Pre-operative hemoglobin \< or equal to 7 g/dL * Pre-operative weight \> or equal to 125 kig
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Solute Clearance | Intra-operative time | To compare the clearance of solutes (ie. potassium, lactate, creatinine and blood urea nitrogen) by CRRT in renally impaired OLT recipients to OLT recipients who do not receive CRRT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Renal function and patient outcomes | 1 year post-operatively | To compare long-term maintenance of renal function (12 months) and other health outcomes in OLT recipients who received CRRT versus OLT recipients who did not receive OLT |
Countries
United States