Radical Cystectomy Clinical Trial
Official title:
The Potential Renal Protective Effect of Intravenous Dexmedetomidine for Patients During Radical Cystectomy
Acute kidney injury and chronic kidney disease usually associated with radical cystectomy operation which is the treatment of choice for invasive urinary bladders tumor. Peri-operative acute kidney injury (AKI) is common but poorly recognized and managed which is associated with increase surgical morbidity and mortality and hospital cost .Prospective human studies establishing a renal protective effect of dexmedetomidine are still questionable.
The aim of this study is to test the hypothesis that intra-operative intravenous
dexmedetomidine infusion could improve early renal function after open radical cystectomy.
This randomized comparative study will be carried out on 100 patients of either sex, ASA I
and II with baseline serum creatinine below 1.4 mg/dl who will be submitted for radical
cystectomy. The patients will be randomly allocated into two groups according to the drug
infused intra-operatively; dexmedetomidine group and fentanyl group. Dexmedetomidine group:
will receive loading dose (0.8μg/kg) over 20 minutes, followed by intravenous infusion
(0.4μg/kg/h) and fentanyl group: will receive loading dose (1μg/kg), followed by intravenous
infusion (1μg/kg/h) during intra-operative period till end of procedure. Assessment of renal
function through evaluation of pre-operative estimated glomerular filtration rate (eGFR)
using Modification of Diet in Renal Disease (MDRD) formula based on baseline serum
creatinine, serum cystatin C level at 24 hours post-operative, daily post-operative serum
creatinine for one week post-operative and post-operative eGFR using MDRD formula.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT05097404 -
Clinical Utility of VI-RADS in Diagnosis of MIBC
|
||
Recruiting |
NCT05723991 -
Study of Disitamab Vedotin Combined With Gemcitabine in Neoadjuvant Treatment of Urothelial Carcinoma
|
Phase 4 | |
Completed |
NCT02516059 -
Early Postoperative Administration of Oxycodone +/- Naloxone and Duration of Epidural Analgesia
|
Phase 4 | |
Recruiting |
NCT04687254 -
Gender-related Characteristics of Bladder Cancer Treatment
|
||
Completed |
NCT03262480 -
The Stroke Volume Optimization of Goal Directed Fluid Therapy During Radical Cystectomy
|
N/A | |
Not yet recruiting |
NCT00966147 -
Advanced Hemodynamic Monitoring for Goal-directed Hemodynamic Management During Radical Cystectomy
|
N/A | |
Completed |
NCT05048199 -
Hemodynamic Effects of Pressure-regulated Volume Control Mode in Patients With Diastolic Dysfunction Undergoing Radical Cystectomy
|
N/A | |
Not yet recruiting |
NCT03806439 -
Post-surgical Delirium in Patients Undergoing Radical Cystectomy.
|
||
Recruiting |
NCT06190197 -
Prophylactic Antibiotics in Cystectomy With Diversion
|
Early Phase 1 | |
Active, not recruiting |
NCT03147586 -
Influence of Immune Nutrition Diet on 90-Day Outcomes in Patients Undergoing Radical Cystectomy
|
Phase 4 | |
Completed |
NCT06422182 -
Erector Spinae Plane Block in Radical Cystectomy
|
N/A | |
Completed |
NCT01868087 -
Impact Advanced Recovery® for Radical Cystectomy (RC) Patients: a Pilot Study
|
Phase 0 | |
Completed |
NCT01273987 -
Neobladder Posterior Wall Suspended With Round Ligament of Uterus
|
N/A | |
Recruiting |
NCT06170177 -
Study on the Quality of Life and Pathological State in Patients Who Underwent Radical Cystectomy
|
||
Recruiting |
NCT04152720 -
Evaluate the Efficacy and Safety of Prevention of Infection Foley Catheter as Compared to Conventional Foley Catheter
|
N/A | |
Active, not recruiting |
NCT02908061 -
A Study to Determine if Mesh Placement During Bladder Surgery Can Reduce the Chances of Developing a Hernia
|
Phase 3 | |
Recruiting |
NCT05578898 -
CLEAR Care Companion Application
|
N/A | |
Completed |
NCT03305627 -
Optimized Perioperative Antibiotic Prophylaxis in Radical Cystectomy
|
N/A | |
Recruiting |
NCT05714826 -
Comprehensive Optimization At-time of Radical Cystectomy Intervention
|
N/A | |
Completed |
NCT03505112 -
The Effect of Goal-directed Hemodynamic Therapy in Radical Cystectomy
|
N/A |