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A Comparison of the Effects of Ketamine and Remifentanil on Serum Cystatin-c Levels in CABG Surgery

Information source: Turkiye Yuksek Ihtisas Education and Research Hospital
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Coronary Artery Disease

Intervention: remifentanil (Drug); Ketamine (Drug)

Phase: Phase 4

Status: Completed

Sponsored by: Turkiye Yuksek Ihtisas Education and Research Hospital

Official(s) and/or principal investigator(s):
Aslı Demir, Principal Investigator, Affiliation: Turkey Yuksek Ihtisas Education and Research Hospital

Summary

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.

Clinical Details

Official title: A Comparison of the Effects of Ketamine and Remifentanil on Serum Cystatin-c Levels in CABG Surgery

Study design: Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Primary outcome: creatinin, BUN

Secondary outcome: Cystatin-c level

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

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.

Locations and Contacts

Aslı Demir, Ankara 06100, Turkey

Turkey Yuksek Ihtisas Education and Research Hospital, Ankara 06550, Turkey

Additional Information

TYIH ETHICS COMMITTEE

Starting date: May 2013
Last updated: April 9, 2014

Page last updated: August 23, 2015

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