TITLE:
Renal Function after Major Uro-Oncologic Surgery and Dexmedetomidine Infusion
AUTHORS:
Marcus Vinicius M. Novaes, Paulo Sergio G. Lavinas, Grace Haber D. Pires, Ana Claudia G. de Carvalho, Renata M. B. Lopes, Regina El Dib, Paulo do Nascimento Jr.
KEYWORDS:
Dexmedetomidine; Renal Function; Nephrectomy; Prostatectomy; Epidural; General Anesthesia
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.3 No.8,
October
14,
2013
ABSTRACT:
Objective: Acute kidney injury in major surgery is associated with increased postoperative
mortality. This study aimed to evaluate renal function after major urologic
surgery and intraoperative dexmedetomidine infusion. Methods: Thirty oncologic patients with normal renal function
scheduled for prostatectomy or nephrectomy, anesthetized with combined epidural
and general anesthesia, were randomized to receive either intraoperative blind
infusion of dexmedetomidine (Dexmedetomidine Group, n = 15, 0.5 μg/kg load dose plus 0.7 μg/kg/h)
or 0.9% saline (Control Group, n = 15) until the end
of surgery. Intraoperative and cumulative 24-hour diuresis, serum creatinine (SCr),
calculated creatinine clearance (ClCr) and serum cystatin C (SCys)
at postoperative days 1, 2 and 3 and 2 weeks after surgery were evaluated. Results: Mean ± standard deviation values for intraoperative
diuresis in Dexmedetomidine and Control Groups were 566 ± 396 mL and 298 ± 153 mL, respectively (p = 0.014). Cumulative 24-hour diuresis in
Dexmedetomidine and Control Groups was 1947 ± 266 mL and 1748 ± 237 mL,
respectively (p = 0.91). Mean values of SCr, ClCr and SCys were not significantly different from their baseline values in both groups and no significant
differences were seen between groups at any moment for two weeks (p > 0.05). Conclusion: According to the doses
used in this study, despite an intraoperative increase in diuresis,
intraoperative infusion of dexmedetomidine did not influence renal performance
up to two weeks after major uro-oncologic surgery, as evaluated by SCr,
ClCr and SCys.