Effect of intraoperative human albumin on early graft function in renal transplantation
Adequate intravascular volume maintenance is essential to ensure early graft function during renal transplantation. Various recommendations on optimum fluid therapy are based, at best, on sparse evidence, and that too only from observational studies. This prospective randomized controlled study was...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Saudi Journal of Kidney Diseases and Transplantation |
| Online Access: | http://www.sjkdt.org/article.asp?issn=1319-2442;year=2014;volume=25;issue=6;spage=1148;epage=1153;aulast=Shah |
| _version_ | 1819277570058747904 |
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| author | Rajkiran Babubhai Shah Veena Rasiklal Shah Beena Prashant Butala Geeta Piyush Parikh |
| author_facet | Rajkiran Babubhai Shah Veena Rasiklal Shah Beena Prashant Butala Geeta Piyush Parikh |
| author_sort | Rajkiran Babubhai Shah |
| collection | DOAJ |
| description | Adequate intravascular volume maintenance is essential to ensure early graft function during renal transplantation. Various recommendations on optimum fluid therapy are based, at best, on sparse evidence, and that too only from observational studies. This prospective randomized controlled study was done to evaluate the effect of 20% human albumin on the early graft function in living donor renal transplantation. Eighty patients undergoing renal transplantation were randomly assigned to one of the intraoperative fluid regimens, 0.9% normal saline with 20% human albumin (albumin group) or 0.9% normal saline alone (saline group), after confirming the exclusion criteria. Intravenous fluid infusion was given to keep central venous pressure (CVP) between 12 to 15 mm Hg. The statistical package of social sciences, SPSS version 12, was used for statistical analysis. The intraoperative fluid volume infused [albumin group - 3381 ± 1021.2 vs. saline group - 3487 ± 978.5 (mL)] to maintain target CVP was comparable between the two groups (P value >0.05). Statistically, no significant difference was found between the two groups in terms of post transplant serum creatinine [day one; 2.76 ± 1.0 vs. 2.58 ± 0.94, day three; 1.48 ± 0.53 vs. 1.43 ± 0.71, day seven; 1.42 ± 0.6 vs. 1.42 ± 0.53 (mg/dL)] and urine output [day one; 13122.5 ± 5767.8 vs. 13909.4 ± 5324.7, day three; 9233.9 ± 3267.4 vs. 9250 ± 4794.2, day seven; 7517.6 ± 3043.6 vs. 6921.4 ± 3170 (mL)] (P value >0.05). Postoperative change in body weight [1.89 ± 3.82 vs. 2.48 ± 3.89 (kg)], tissue edema (10% vs. 7.5%), and pulmonary edema (2.5% vs. 5%) did not differ significantly (P >0.05). Twenty percent human albumin given intraoperatively, as a volume expander, does not improve early graft function in living donor renal transplantation. It should be used selectively rather than as a routine protocol. |
| first_indexed | 2024-12-23T23:58:12Z |
| format | Article |
| id | doaj.art-a43c0d0874dc4ae0846936fc87855398 |
| institution | Directory Open Access Journal |
| issn | 1319-2442 |
| language | English |
| last_indexed | 2024-12-23T23:58:12Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Kidney Diseases and Transplantation |
| spelling | doaj.art-a43c0d0874dc4ae0846936fc878553982022-12-21T17:25:11ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422014-01-012561148115310.4103/1319-2442.144246Effect of intraoperative human albumin on early graft function in renal transplantationRajkiran Babubhai ShahVeena Rasiklal ShahBeena Prashant ButalaGeeta Piyush ParikhAdequate intravascular volume maintenance is essential to ensure early graft function during renal transplantation. Various recommendations on optimum fluid therapy are based, at best, on sparse evidence, and that too only from observational studies. This prospective randomized controlled study was done to evaluate the effect of 20% human albumin on the early graft function in living donor renal transplantation. Eighty patients undergoing renal transplantation were randomly assigned to one of the intraoperative fluid regimens, 0.9% normal saline with 20% human albumin (albumin group) or 0.9% normal saline alone (saline group), after confirming the exclusion criteria. Intravenous fluid infusion was given to keep central venous pressure (CVP) between 12 to 15 mm Hg. The statistical package of social sciences, SPSS version 12, was used for statistical analysis. The intraoperative fluid volume infused [albumin group - 3381 ± 1021.2 vs. saline group - 3487 ± 978.5 (mL)] to maintain target CVP was comparable between the two groups (P value >0.05). Statistically, no significant difference was found between the two groups in terms of post transplant serum creatinine [day one; 2.76 ± 1.0 vs. 2.58 ± 0.94, day three; 1.48 ± 0.53 vs. 1.43 ± 0.71, day seven; 1.42 ± 0.6 vs. 1.42 ± 0.53 (mg/dL)] and urine output [day one; 13122.5 ± 5767.8 vs. 13909.4 ± 5324.7, day three; 9233.9 ± 3267.4 vs. 9250 ± 4794.2, day seven; 7517.6 ± 3043.6 vs. 6921.4 ± 3170 (mL)] (P value >0.05). Postoperative change in body weight [1.89 ± 3.82 vs. 2.48 ± 3.89 (kg)], tissue edema (10% vs. 7.5%), and pulmonary edema (2.5% vs. 5%) did not differ significantly (P >0.05). Twenty percent human albumin given intraoperatively, as a volume expander, does not improve early graft function in living donor renal transplantation. It should be used selectively rather than as a routine protocol.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2014;volume=25;issue=6;spage=1148;epage=1153;aulast=Shah |
| spellingShingle | Rajkiran Babubhai Shah Veena Rasiklal Shah Beena Prashant Butala Geeta Piyush Parikh Effect of intraoperative human albumin on early graft function in renal transplantation Saudi Journal of Kidney Diseases and Transplantation |
| title | Effect of intraoperative human albumin on early graft function in renal transplantation |
| title_full | Effect of intraoperative human albumin on early graft function in renal transplantation |
| title_fullStr | Effect of intraoperative human albumin on early graft function in renal transplantation |
| title_full_unstemmed | Effect of intraoperative human albumin on early graft function in renal transplantation |
| title_short | Effect of intraoperative human albumin on early graft function in renal transplantation |
| title_sort | effect of intraoperative human albumin on early graft function in renal transplantation |
| url | http://www.sjkdt.org/article.asp?issn=1319-2442;year=2014;volume=25;issue=6;spage=1148;epage=1153;aulast=Shah |
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