Effect of intraoperative human albumin on early graft function in renal transplantation.

Effect of intraoperative human albumin on early graft function in renal transplantation. Saudi J Kidney Dis Transpl. 2014 Nov-Dec;25(6):1148-53 Authors: Shah RB, Shah VR, Butala BP, Parikh GP Abstract 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 Â...
Source: Saudi Journal of Kidney Diseases and Transplantation - Category: Urology & Nephrology Authors: Tags: Saudi J Kidney Dis Transpl Source Type: research