Kidney Disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult (= 18 years old) patients 2. Either sex 3. Undergoing living donor liver transplantation with right lobe graft from family-related donors.
Exclusion criteria
Exclusion criteria: 1. Acute fulminant hepatitis 2. Estimated Graft/Recipient Weight ratio (GRWR) 35 mmHg 4. Preoperative serum creatinine (SCr) > 1.4 mg/dl or dialysis within the last 3 months 5. Diabetes Mellitus (> 10 years) 6. Preoperative serum sodium [Na+] 5.5 mEq/L 7. Intra-operative massive blood transfusion (replacement of > 50% of total blood volume in < 3 hours)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Early acute kidney injury, defined as 0.3 mg/dl of SCr increase from the baseline in the early 48 post¬operative hours or 50% increase in the S. Cr within 48 hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| All-cause mortality;Intensive Care length of stay;intraoperative CI, SVI, MAP, MPAP, CVP, PAOP, SVR, PVR, and serum [Na+], [K+], ionized [Ca2+], and [Cl-] at 6 intraoperative times - (1) immediately before skin incision, (2) the beginning of the an-hepatic (portal vein clamping), (3) 5 minutes before portal reperfusion (basal), (4) at 5 min after portal unclamping, (5) 5 minutes a;liver graft function | — |
Countries
Egypt
Contacts
Clinical Lecturer of Anaesthesiology and Intensive Care at Mansoura University Faculty of Medicine