Incidence of post-operative AKI in patients undergoing cardiac surgery with cardiopulmonary bypass compared to conventional monitoring. Renal NIRs, Acute kidney injury, AKI, Cardiopulmonary bypass, cardiac surgery
Conditions
Interventions
- The anesthesiologist will unseal the randomization envelope before monitoring the patient.
- Standard Monitoring: All patients will be monitored with non-invasive blood pressure (NIBP), heart rate (
Medtronic, Inc,) throughout the surgery and up to the end of the cardiac procedure.
- Sensor Placement: NIRS sensors will be placed on both flanks directly over the kidneys, marked under ultrasound gu
Experimental Device
Renal NIRS group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients who admitted at Maharaj Nakorn Chiang Mai Hospital with aged at least 20 years old 2. Scheduled for elective CABG, or valve surgery, and on cardiopulmonary bypass (CPB)
Exclusion criteria
Exclusion criteria: 1. Patient with renal artery stenosis 2. Patient with Chronic kidney disease (over stage 3B or Creatinine level > 1.5 mg/dL)) 3. Patient with Hyperbilirubinemia (total bilirubin >1.2 mg/dL) 4. Patient with obesity (BMI > 30)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of post-operative AKI (by KDIGO criteria) postoperative day 1, 2, 3 eGFR | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of ICU stay Total length of ICU stay days,Length of hospital stay total length of hospital stay days,In-hospital mortality total length of hospital stay Percent,30-day mortality 30 days post-operatively percent,Adverse events total length of hospital stay percent | — |
Countries
Thailand
Contacts
Public ContactNatsuda Phothikun
Department of Anesthesiology, Faculty of medicine, Chiang Mai University
Outcome results
None listed