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Renal transplantation is now recognized as the treatment of choice for patients with end-stage renal disease. An optimum anesthetic regimen should enhance the function and perfusion of the transplanted kidney. The aim of this study is to assess & compare the effectiveness of 3 different modalities in this respect: Mannitol, Dopamine and adequate hydration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| M group | Active Comparator | Mannitol infusion |
|
| D group | Active Comparator | Dopamine infusion |
|
| C group | Active Comparator | Adequate hydration |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mannitol infusion | Procedure | Infusion of Mannitol 20% at a dose of 0.5 mg/kg to the renal graft donor after induction of anesthesia over 15 minutes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative creatinine clearance | Post-operative creatinine clearance level of the transplanted kidney graft is measured in ml/min | 7 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nazmy E Seif, MD | Contact | 01227400808 | +2 | drnazmyseif@yahoo.com |
| Ahmed M Elbadawy, MD | Contact | 01064249076 | +2 | elbadawyahmed89@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Nazmy E Seif, MD | Kasr Al-Ainy Hospital, Cairo University | Study Chair |
| Ahmed M Elbadawy, MD | Kasr Al-Ainy Hospital, Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kasr Al-Ainy Hospital, Cairo University | Recruiting | Cairo | Egypt |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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Using computer & sealed envelope randomization, patients are assigned to receive either Mannitol [M group; n=20], Dopamine [D group; n=20] or adequate hydration [C group; n=20]
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| Dopamine infusion | Procedure | Infusion of Dopamine at a dose of 4 microg/kg/min to the renal graft donor after induction of anesthesia till ligation of the renal artery. |
|
| Adequate hydration | Procedure | Infusion of Ringer Acetate at a rate of 15 ml/kg/hr to the renal graft donor after induction of anesthesia till ligation of the renal artery. |
|
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |