N-acetylcysteine for Renal Protection in Patients With Rheumatic Heart Disease Undergoing Valve Replacement.
Overview
- Phase
- Phase 2
- Intervention
- N-acetylcysteine
- Conditions
- Cardiac Surgery for Rheumatic Valvular Heart Disease
- Sponsor
- Assiut University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Absolute change in serum creatinine from baseline to peak level
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
We aim to investigate the efficacy of N-acetylcysteine (NAC) to attenuate acute renal dysfunction in patients with rheumatic valvular heart disease undergoing single valve replacement.
Investigators
Mostafa Samy Abbas
assistant lecturer of anesthesia and ICU, Assiut University
Assiut University
Eligibility Criteria
Inclusion Criteria
- •patients with rheumatic heart disease undergoing single valve replacement
Exclusion Criteria
- •End stage renal disease (plasma creatinine concentration ≥ 300 µmol/L)
- •Emergency cardiac surgery
- •Planned off-pump cardiac surgery
- •Chronic inflammatory disease on immunosuppression
- •Chronic moderate to high dose corticosteroid therapy (≥ 10 mg/day prednisone or equivalent)
- •Age ≤ 18 years.
Arms & Interventions
N-acetylcysteine
N-acetylcysteine bolus of 150 mg/kg in 250 mL of 5% glucose over 15 mins, followed by continuous intravenous infusion of 50 mg/kg in 250 mL of 5% glucose over 4 hrs, then 100 mg/kg in 1000 ml of 5% glucose over 20 hrs
Intervention: N-acetylcysteine
Glucose 5%
equivalent volume over the same period.
Intervention: placebo
Outcomes
Primary Outcomes
Absolute change in serum creatinine from baseline to peak level
Time Frame: within 5 days after surgery
Secondary Outcomes
- the relative change in serum creatinine.(the first five postoperative days)