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The Effect of Sodium Bicarbonate on Postoperative Renal Function in Infective Endocarditis Patients Undergoing Open Heart Surgery

Phase 4
Completed
Conditions
Acute Kidney Injury
Interventions
Registration Number
NCT01920126
Lead Sponsor
Yonsei University
Brief Summary

The purpose of study is to test whether perioperative sodium bicarbonate infusion can prevent acute kidney injury following open heart surgery in infective endocarditis patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
70
Inclusion Criteria
  • adult patients over the age of 20 scheduled for open heart surgery for infective endocarditis
Exclusion Criteria
  • end stage renal disease (serum creatinine concentration > 300 μmol/L)
  • on dialysis
  • chronic moderate to high dose corticosteroid therapy (> 10 mg/day prednisolon or equivalent)
  • preoperative severe hypernatremia (Na+ > 150 mmol/L), alkalemia (PH > 7.50), or pulmonary edema
  • neurocognitive dysfunction

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Saline groupSalineSaline group
Sodium bicarbonate groupsodium bicarbonateSodium bicarbonate group
Primary Outcome Measures
NameTimeMethod
Comparison of the the peak creatinine level during the postoperative 48h by more than 0.3 mg/dL between two groups.postoperative 48 hours

We would investigate if the peak creatinine level during the postoperative 48h would differ by more than 0.3 mg/dL between two groups. The primary outcome was decided based on the AKIN criteria which defines acute kidney injury if serum creatinine increases more than 0.3 mg/dL during the postoperative 48 h.

; increase in serum creatinine of 0.3 mg/dL or \>50 percent developing over \<48 hours

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

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