دورية أكاديمية
Impact of Intraoperative Degrees of Hypotensive Anaesthesia Using Dexmedetomidine on Perioperative Renal Injuries in Patients Undergoing Endoscopic Sinus Surgery
| العنوان: | Impact of Intraoperative Degrees of Hypotensive Anaesthesia Using Dexmedetomidine on Perioperative Renal Injuries in Patients Undergoing Endoscopic Sinus Surgery |
|---|---|
| المؤلفون: | Mohammed Mohammed, Mostafa Abdelsalam, Mona Tawfik, Mona Mostafa, Zenat Mohammed |
| المصدر: | International Journal of Medical Arts, Vol 5, Iss 8, Pp 3540-3547 (2023) |
| بيانات النشر: | Al-Azhar University, Faculty of Medicine (Damietta), 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine (General) |
| مصطلحات موضوعية: | intraoperative hypotension, renal injury, predictors, resistive index, Medicine (General), R5-920 |
| الوصف: | Background and objective: Although controlled intraoperative hypotension is essential in functional endoscopic sinus surgery [FESS], it could lead to vital organ hypoperfusion. Herein, we evaluated the effects of maintaining mean blood pressure [BP] around 60 mmHg on renal function compared to its maintenance around 70 mmHg.Patients and Methods: We included 134 patients undergoing FESS procedure in this randomized prospective trial. Patients were divided into two groups; mean BP was kept around 70 mmHg in group A participants, while the same parameter was kept around 60 mmHg in group B patients. Preoperative and intraoperative kidney function were evaluated by the resistive index.Results: Most preoperative parameters were statistically comparable between the two groups. Group B patients had better surgical field quality. The incidence of acute kidney injury [AKI] was 9% and 20.9% in Groups A and B, respectively [p = 0.052]. However, the intraoperative resistive index showed a marked increase in Group B [0.81 vs. 0.75 in Group A]. High baseline creatinine and a high intraoperative resistive index were independent predictors for AKI. High postoperative serum creatinine was also a significant risk factor.Conclusion: A high preoperative creatinine and intraoperative resistive index are strong risk factors for AKI. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2636-4174 2682-3780 |
| Relation: | https://ijma.journals.ekb.eg/article_318087_d0fbc9a39e4f14c012169128450959a6.pdf; https://doaj.org/toc/2636-4174; https://doaj.org/toc/2682-3780 |
| DOI: | 10.21608/ijma.2023.223411.1741 |
| URL الوصول: | https://doaj.org/article/b31f83c846d942e08d0559c738a6150a |
| رقم الأكسشن: | edsdoj.b31f83c846d942e08d0559c738a6150a |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 26364174 26823780 |
|---|---|
| DOI: | 10.21608/ijma.2023.223411.1741 |