The effect of parecoxib on kidney function at laparoscopic hysterectomy

Autor:	Sirpa Rintala, Aimo Harmoinen, Pia A.E. Puolakka, Tiina Luukkaala, Leena Lindgren, M. G. F. Rorarius, Arvi Yli-Hankala
Rok vydání:	2009
Předmět:	Nephrology medicine.medical_specialty medicine.medical_treatment Renal function Urine Critical Care and Intensive Care Medicine Placebo Hysterectomy Kidney Nephrotoxicity Double-Blind Method Parecoxib Internal medicine medicine Humans Cyclooxygenase Inhibitors Prospective Studies business.industry General Medicine Perioperative Isoxazoles Middle Aged Surgery Anesthesia Female Laparoscopy business medicine.drug
Zdroj:	Renal failure. 31(4)
ISSN:	1525-6049
Popis:	Conventional nonsteroidal anti-inflammatory drugs (NSAIDs) have a well-documented nephrotoxic action. Still, there are only few studies that have investigated the nephrotoxicity of cyclo-oxycenase-2-inhibitors during the perioperative period. Thirty patients scheduled for elective laparoscopic hysterectomy were enrolled in this prospective, randomized double-blind study. Patients were randomized into two groups: a saline-treated control group (placebo) and 80 mg parecoxib-treated group (parecoxib). The samples for the analyses of serum and urine were collected at the induction of anesthesia, two hours thereafter, two hours from the end of anesthesia, and on the first postoperative day (POD). S-crea, S-urea, S-cystatin C, S-Na, S-K, U-1mikroglobulin/U-crea, U-GST/U-crea, and U-GST/U-crea were analyzed from the samples. Urine output was measured every hour for the first five hours, and total amount of urine was measured until the first postoperative day. There were no clinical and few statistical significant differences between the two groups in the renal measurements during the study period. The urinary output was also similar in the two groups. A single dose of 80 mg of parecoxib was well tolerated by the kidneys in the short-term perioperative use in patients undergoing laparoscopic hysterectomy with ASA physiological status I-II and age under 60 years.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6f3d9b5950036e8a9d6a6f3b96bc5bc0 https://pubmed.ncbi.nlm.nih.gov/19462277 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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