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| ID | Type | Description | Link |
|---|---|---|---|
| Zaslidem | Registry Identifier | aslı demir |
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In this prospective, randomized, clinical trial, we have investigated the effects of ketamine-based and remifentanil-based anesthetic protocol on perioperative serum cystatin-c levels, and creatinine and/or cystatin-c based eGFR equations in terms of acute kidney injury in CABG surgery.This study was approved by the Ethics Committee of Hospital and all patients were informed and gave written consent. Patients scheduled for elective CABG with cardiopulmonary bypass. Patients were randomly allocated to anesthesia with remifentanil-propofol-midazolam (RPM) group or ketamine-propofol-midazolam (KPM) group. Blood samples were obtained before induction of anesthesia (baseline), at the end of the operation, and postoperative days 1, 2, and 4.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| remifentanil | Active Comparator | remifentanil, short acting opioid |
|
| ketamine | Active Comparator | ketamine, intravenous anesthetic |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| remifentanil | Drug | renal function |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| creatinin, BUN | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cystatin-c level | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| GFR value | 2 months |
Inclusion Criteria:
patients undergoing elective CABG with cardiopulmonary bypass
Exclusion Criteria:
patients undergoing emergency operation, combined operation, off-pump surgery, repeat surgery or valve surgery, patients presenting with chronic kidney disease or renal impairment, patients younger than 18 years old and neurological and/or psychiatric disturbances.
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| Name | Affiliation | Role |
|---|---|---|
| Aslı Demir | Turkey Yuksek Ihtisas Education and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aslı Demir | Ankara | Ankara | 06100 | Turkey (Türkiye) | ||
| Turkey Yuksek Ihtisas Education and Research Hospital |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000077208 | Remifentanil |
| D007649 | Ketamine |
| ID | Term |
|---|---|
| D011422 | Propionates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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| Ketamine |
| Drug |
renal function |
|
|
| Ankara |
| 06550 |
| Turkey (Türkiye) |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D010880 |
| Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |