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This work aims to investigate the diuretic effect of Aminophylline in comparison to Furosemide in adult patients undergoing cardiac surgical procedures.
Acute Kidney injury (AKI) is a serious and common complication after either adult or pediatric cardiac surgery.
The results of a recent meta-analysis suggested that loop diuretics (furosemide) may reduce postoperative creatinine clearance, whereas aldosterone agonists (spironolactone) increase the incidence of cardiac surgery-associated acute kidney injury (CSA-AKI). Diuretics are not recommended for the prevention of AKI, but loop diuretics may be used for the management of volume overload Aminophylline in cardiac surgery can reduce the frequency of AKI and could be used in the prevention of AKI as a safe and efficient modality in high-risk patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Aminophylline group (control group) | Active Comparator | Patients will receive Aminophylline. |
|
| Furosemide group | Experimental | Patients will receive furosemide. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aminophylline | Drug | Patients will receive Aminophylline. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of urine output | Urine output will be measured at two hours after cardiopulmonary bypass. | Two hours after cardiopulmonary bypass |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of urine output at completion of cardiopulmonary bypass | Urine output at completion of cardiopulmonary bypass (CPB) will be measured at 8 hours and 48 hours after CPB. | 48 hours after cardiopulmonary bypass |
| Urea level |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed M Hassan, MSc | Contact | 00201033752020 | ahm33hassan@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Recruiting | Cairo | 12613 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| ID | Term |
|---|---|
| D000628 | Aminophylline |
| D005665 | Furosemide |
| ID | Term |
|---|---|
| D005029 | Ethylenediamines |
| D003959 | Diamines |
| D011073 | Polyamines |
| D000588 | Amines |
| D009930 |
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| Furosemide |
| Drug |
Patients will receive furosemide. |
|
Urea level will be measured at 8 hours and 48 hours after cardiopulmonary bypass.
| 48 hours after cardiopulmonary bypass |
| Creatinine level | Creatinine level will be measured at 8 hours and 48 hours after cardiopulmonary bypass. | 48 hours after cardiopulmonary bypass |
| Lactate level | Lactate level will be measured at 8 hours and 48 hours after cardiopulmonary bypass. | 48 hours after cardiopulmonary bypass |
| Estimated Glomerular Filtration Rate (eGFR) | Estimated Glomerular Filtration Rate (eGFR) at completion of cardiopulmonary bypass (CPB) will be measured at 8 hours and 48 hours after CPB. | 48 hours after cardiopulmonary bypass |
| Measurement of fluid balance | Fluid balance at completion of cardiopulmonary bypass (CPB) will be measured at 8 hours and 48 hours after CPB. | 48 hours after cardiopulmonary bypass |
| Organic Chemicals |
| D013806 | Theophylline |
| D014970 | Xanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D004338 | Drug Combinations |
| D004364 | Pharmaceutical Preparations |
| D013424 | Sulfanilamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D000814 | Aniline Compounds |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |