Cardiothoracic & vascular anesthesia

Low-Dose Postoperative Amino Acid Infusion and Kidney Protection After Cardiac Surgery: A Before-and-After Observational Cohort Study

J Cardiothorac Vasc AnesthPublished Before-and-after observational cohort study

Authors' conclusion

Postoperative amino acids are effective in reducing AKI in a real-world setting.

Study context

Population
Adults undergoing cardiac surgery, intensive care unit (ICU)
Participants
520 adults
Exposure
Amino acid vs Ringer lactate
  • Amino acidn = 373
  • Ringer lactaten = 147reference
Outcome
AKI by KDIGO criteria (stages 1, 2 and 3)
Methodological detailsconsecutive patients, multivariable analysis
  • Consecutive patients
  • Multivariable analysis

Main finding

As reported in the abstract

Overall incidence of AKI

P = 0.012

Observational data: associations, not effects.

Further findings

Acute kidney injury (AKI) after adjustment for potential confounders (multivariate analysis)

Amino acids remained associated with a reduction in the overall incidence of AKI

Original publication

Low-Dose Postoperative Amino Acid Infusion and Kidney Protection After Cardiac Surgery: A Before-and-After Observational Cohort Study. J Cardiothorac Vasc Anesth. Published 27 March 2026. doi:10.1053/j.jvca.2026.03.044

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