Delayed Graft Function Clinical Trial
Official title:
Volatile Anesthetic Protection Of Renal Transplants 2
To compare the effect of a sevoflurane based anesthesia versus a propofol based anesthesia on the incidence of DGF in recipients of kidneys of donation after circulatory death (DCD) and donation after brain death (DBD) donors
Objective:
To compare the effect of a sevoflurane based anaesthesia versus a propofol based anaesthesia
on the incidence of delayed graft function in recipients of DCD and DBD donor kidneys.
Study design:
Prospective randomized controlled European multicentre clinical trial with two parallel
groups
Study population:
Patients ≥18 years scheduled for kidney transplantation with a kidney from a DBD or DCD donor
Intervention:
Patients will be included and randomised to one of the following groups:
Group 1 PROP (control): Propofol: a propofol-remifentanil based anaesthesia. Group 2 SEVO
(intervention): Sevoflurane: a sevoflurane-remifentanil based anaesthesia.
Main study parameters:
DGF defined as need of dialysis the first week after transplantation excluding one time
dialysis for hyperkalemia Acute rejection episodes within the first year after
transplantation Graft and patient survival GFR at 3 and 12 months PNF defined as a permanent
lack of function of the allograft Length of hospital stay Postoperative complications of all
kind kidney biomarkers (urine/plasma) mechanisms of protection/immunomodulation with
anestheticanaesthetic agents
;
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