Perioperative medicine & outcomes

Influence of the type of anaesthesia on acute kidney injury after nephrectomy: a randomised controlled trial

AnaesthesiaPublished Randomised controlled trial

Primary resultResult — go to the resultAbsolute risk difference 4.6 % 95% CI −4.9-14.0%

Authors' conclusion

The type of anaesthetic maintenance drug (propofol vs. desflurane) did not affect the incidence of acute kidney injury after nephrectomy.

Study context

Population
Adults with renal cell carcinoma undergoing nephrectomy317 analysed
Participants
43 vs 36
Comparison
Propofol TCI vs desflurane maintenance anaesthesia
  • Propofoln = 43
  • Desfluranen = 36reference
Primary endpoint
Incidence of AKI (serum creatinine component of KDIGO criteria)
Follow-up
Within 7 postoperative days
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

Absolute risk difference

4.6 %

95% CI −4.9-14.0%

P = 0.347

Events by treatment group

Propofol vs Desflurane
absolute risk difference 4.6 % (95% CI −4.9-14.0%); P = 0.347

Further findings

AKI overall and severity

Postoperative AKI, all patients
79 (25%)
Stage 1
76
Stage 3
1
Stage 2

Original publication

Influence of the type of anaesthesia on acute kidney injury after nephrectomy: a randomised controlled trial. Anaesthesia. Published 26 November 2024. doi:10.1111/anae.16490

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