Use of fenoldopam to control renal dysfunction early after liver transplantation (Articolo in rivista)

Type
Label
  • Use of fenoldopam to control renal dysfunction early after liver transplantation (Articolo in rivista) (literal)
Anno
  • 2004-01-01T00:00:00+01:00 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
  • 10.1002/lt.20145 (literal)
Alternative label
  • Gianni Biancofiore; Giorgio Della Rocca; Lucia Bindi; Anna Romanelli; Massimo Esposito; Luca Meacci; Lucio Urbani; Franco Filipponi; Franco Mosca (2004)
    Use of fenoldopam to control renal dysfunction early after liver transplantation
    in Liver transplantation (Print)
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Gianni Biancofiore; Giorgio Della Rocca; Lucia Bindi; Anna Romanelli; Massimo Esposito; Luca Meacci; Lucio Urbani; Franco Filipponi; Franco Mosca (literal)
Pagina inizio
  • 986 (literal)
Pagina fine
  • 992 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url
  • http://onlinelibrary.wiley.com/doi/10.1002/lt.20145/full (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 10 (literal)
Rivista
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#pagineTotali
  • 7 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroFascicolo
  • 8 (literal)
Note
  • Scopu (literal)
  • ISI Web of Science (WOS) (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • Post-Surgical and Transplantation Intensive Care Unit (ICU), Azienda Ospedaliera Pisana; Liver Transplantation Unit, University School of Medicine and General and Transplantation Surgery, University School of Medicine, Ospedale di Cisanello, Pisa, Italy; Anesthesia and Intensive Care Department, University School of Medicine, Udine, Italy; Institute of Clinical Physiology, National Research Council, Pisa, Italy (literal)
Titolo
  • Use of fenoldopam to control renal dysfunction early after liver transplantation (literal)
Abstract
  • With the aim of assessing whether fenoldopam can help to preserve renal function after liver transplantation, we randomized 140 consecutive recipients with comparable preoperative renal function to receive fenoldopam 0.1 microg/kg/minute (group F, 46 patients), dopamine 3 microg/kg/minute (group D, 48 patients), or placebo (group P, 46 patients) from the time of anesthesia induction to 96 hours postoperatively. There were no differences between the groups in intraoperative urinary output or furosemide administration (both P =.1). Daily recordings made during the first 4 postoperative days revealed no significant differences in urinary output (P =.1), serum creatinine (P =.5), the incidence of renal insufficiency (P =.7), the need for loop diuretics (P =.9) or vasoactive drugs (P =.8). In comparison with preoperative levels, creatinine clearance at the end of the study in the patients receiving fenoldopam remained substantially unchanged, whereas it decreased by 39 and 12.3%, respectively, in the subjects receiving placebo or dopamine (P <.001); blood cyclosporine A (CsA) levels were similar in the 3 groups (P =.1). Three subjects died in the intensive care unit (1 in each group, P =.9), 2 of them had renal failure. In conclusion, our results confirm the inefficacy of dopamine in preventing or limiting early renal dysfunction after liver transplantation, and suggest that fenoldopam may preserve creatinine clearance by counterbalancing the renal vasoconstrictive effect of CsA, as it has been reported in previous experimental studies. (literal)
Prodotto di
Autore CNR
Insieme di parole chiave

Incoming links:


Prodotto
Autore CNR di
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#rivistaDi
Insieme di parole chiave di
data.CNR.it