Spinal Stenosis Clinical Trial
Official title:
Effect of Nicardipine on Renal Function in Deliberate Hypotension
The aim of this study was to demonstrate the effect of nicardipine on renal function with creatinine clearance, serum cystatin C, urine output and fractional excretion of sodium during deliberate hypotension for spine surgery.
To induce deliberate hypotension, pharmacological agents such as inhalation anesthetics,
calcium channel blockers, beta-adrenergic blockers have been used alone or in combination.
Nicardipine, classed as a calcium channel blocker, has a peripheral vasodilator effect via
relaxation of smooth muscle fiber and sympathetic nerve inhibition. Nicardipine expands the
renal artery and increases glomerular filtration rate. Previous studies reported the renal
protective effect of nicardipine in cardiac surgery with cardiopulmonary bypass and
robot-assisted laparoscopic surgery.
The aim of this study was to demonstrate the effect of nicardipine on renal function with
creatinine clearance , serum cystatin C, urine output and fractional excretion of sodium
during deliberate hypotension for spine surgery.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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