Yıl: 2014 Cilt: 22 Sayı: 2 Sayfa Aralığı: 266 - 270 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery

Öz:
Amaç: Bu çalışmada koroner arter baypas greftleme (KABG) yapılan diyabet hastalarında renal doz dopamin infüzyonunun profilaktik kullanımının klinik sonuçları değerlendirildi.Ça­lış­ma­pla­nı:­Bu prospektif randomize çalışmada elektif KABG yapılması planlanan 40 ardışık diyabet hastası iki eşit gruba randomize edildi: grup 1'e anestezi indüksiyonundan itibaren 48 saat süreyle renal dozda (2.5-4.0 mg/kg/dk.) dopamin infüzyonu verildi; grup 2 ise tedavi edilmemiş kontrollerden oluşuyordu. Kardiyopulmoner baypas için aortik ve sağ atriyal kanülasyonu ile standart sternotomi tekniği uygulandı.Bul gu lar: Günlük idrar çıkışı, sıvı dengesi, serum kreatinin, kan üre düzeyleri ve kreatinin klirensi üç ve beşinci günlerde ölçüldü. Kontrol grubunda ameliyat sonrası üçüncü ve beşinci günlerde kreatinin klirens düzeyleri sırasıyla 24.8±12.3 mL/dk ve 18.1±10.1 mL/dk azaldı. Dopamin grubunda ameliyat sonrası üçüncü ve beşinci günlerde kreatinin klirens düzeyleri sırasıyla, 7.7±10.8 mL/dk. (p=0.005) ve 10.7±11.7 mL/dk. (p=0.001) arttı. Kontrol grubuna kıyasla, grup 1'deki hastaların serum kreatinin düzeyinde üçüncü ve beşinci günlerde daha az artış görüldü (p<0.001).So nuç: Renal tübüler fonksiyonun göstergesi olan kreatinin ve kreatinin klirens düzeyleri, anestezi indüksiyonun başladığı zaman renal doz dopamin infüzyonu ile pozitif etkilendi. Verilerimiz, özellikle diyabet hastalarında ameliyat sonrası renal fonksiyonların yeniden normalleşmesine katkıda bulunabilir.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Koroner arter baypas greft cerrahisi yapılan diyabet hastalarında renal doz dopaminin renal tübüler fonksiyon üzerine etkisi

Öz:
Background: This study aims to evaluate clinical results of the prophylactic use of renal dose dopamine infusion in diabetic patients undergoing coronary artery bypass grafting (CABG). Methods: In this prospective randomized study, 40 consecutive diabetic patients who were scheduled for elective CABG were randomized into two equal groups: group 1 received dopamine infusion at renal dose (2.5-4.0 mg/kg/min) starting from induction of anesthesia for 48 hours; group 2 consisted of untreated controls. Standard sternotomy technique using aortic and right atrial cannulation was performed for cardiopulmonary bypass. Results: Daily urine output, fluid balance, serum creatinine, blood urea levels and creatinine clearance were measured at three and five days. In the control group, third and fifth postoperative day, creatinine clearance levels decreased about 24.8±12.3 mL/min and 18.1±10.1 mL/min, respectively. In the dopamine group, creatinine clearance levels in the third and fifth postoperative days increased by 7.7±10.8 mL/min (p=0.005) and 10.7±11.7 mL/min (p=0.001), respectively. Group 1 patients demonstrated less increase in serum creatinine level at three and five days than the controls (p<0.001). Conclusion: Creatinine and creatinine clearance levels, suggestive of renal tubular function, were positively affected by renal dose dopamine infusion started at time of anesthesia induction. Our data may help us to re-normalize the renal functions in the postoperative period in diabetic patients, particularly.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA SARIGÜL A, NARİN C, ÖZKARA A, Tanyeli O, SARKILAR G, Ege E, Yeniterzi M (2014). The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. , 266 - 270.
Chicago SARIGÜL Ali,NARİN Cüneyt,ÖZKARA Ahmet,Tanyeli Omer,SARKILAR Gamze,Ege Erdal,Yeniterzi Mehmet The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. (2014): 266 - 270.
MLA SARIGÜL Ali,NARİN Cüneyt,ÖZKARA Ahmet,Tanyeli Omer,SARKILAR Gamze,Ege Erdal,Yeniterzi Mehmet The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. , 2014, ss.266 - 270.
AMA SARIGÜL A,NARİN C,ÖZKARA A,Tanyeli O,SARKILAR G,Ege E,Yeniterzi M The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. . 2014; 266 - 270.
Vancouver SARIGÜL A,NARİN C,ÖZKARA A,Tanyeli O,SARKILAR G,Ege E,Yeniterzi M The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. . 2014; 266 - 270.
IEEE SARIGÜL A,NARİN C,ÖZKARA A,Tanyeli O,SARKILAR G,Ege E,Yeniterzi M "The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery." , ss.266 - 270, 2014.
ISNAD SARIGÜL, Ali vd. "The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery". (2014), 266-270.
APA SARIGÜL A, NARİN C, ÖZKARA A, Tanyeli O, SARKILAR G, Ege E, Yeniterzi M (2014). The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 22(2), 266 - 270.
Chicago SARIGÜL Ali,NARİN Cüneyt,ÖZKARA Ahmet,Tanyeli Omer,SARKILAR Gamze,Ege Erdal,Yeniterzi Mehmet The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. Türk Göğüs Kalp Damar Cerrahisi Dergisi 22, no.2 (2014): 266 - 270.
MLA SARIGÜL Ali,NARİN Cüneyt,ÖZKARA Ahmet,Tanyeli Omer,SARKILAR Gamze,Ege Erdal,Yeniterzi Mehmet The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.22, no.2, 2014, ss.266 - 270.
AMA SARIGÜL A,NARİN C,ÖZKARA A,Tanyeli O,SARKILAR G,Ege E,Yeniterzi M The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2014; 22(2): 266 - 270.
Vancouver SARIGÜL A,NARİN C,ÖZKARA A,Tanyeli O,SARKILAR G,Ege E,Yeniterzi M The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2014; 22(2): 266 - 270.
IEEE SARIGÜL A,NARİN C,ÖZKARA A,Tanyeli O,SARKILAR G,Ege E,Yeniterzi M "The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 22, ss.266 - 270, 2014.
ISNAD SARIGÜL, Ali vd. "The effect of renal dose dopamine use on renal tubular function in diabetic patients undergoing coronary artery bypass graft surgery". Türk Göğüs Kalp Damar Cerrahisi Dergisi 22/2 (2014), 266-270.