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

Phase 4
Completed
Conditions
Coronary Artery Disease
Interventions
Registration Number
NCT02113150
Lead Sponsor
Turkiye Yuksek Ihtisas Education and Research Hospital
Brief 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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
37
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
remifentanilKetamineremifentanil, short acting opioid
ketamineremifentanilketamine, intravenous anesthetic
Primary Outcome Measures
NameTimeMethod
creatinin, BUN2 months
Secondary Outcome Measures
NameTimeMethod
Cystatin-c level2 months

Trial Locations

Locations (2)

Aslı Demir

🇹🇷

Ankara, Turkey

Turkey Yuksek Ihtisas Education and Research Hospital

🇹🇷

Ankara, Turkey

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