The Effect of Octreotide on Urine Output During Orthotopic Liver Transplantation and Early Postoperative Renal Function; A Randomized, Double-Blind, Placebo-Controlled Trial
Open Access
- 18 September 2013
- journal article
- Published by Briefland in Hepatitis Monthly
- Vol. 13 (9), e12787
- https://doi.org/10.5812/hepatmon.12787
Abstract
Background: Maintenance of the adequate intraoperative renal perfusion is very important during Orthotopic Liver Transplantation (OLT) to prevent acute renal failure. Objectives: For the first time, this study was designed to survey the effects of octreotide on urine output during anesthesia for OLT and early postoperative renal function. Patients and Methods: In this randomized double-blind placebo controlled clinical trial, 79 of 89 patients who underwent OLT and fulfilled the study requirement were randomly allocated into two groups. In the octreotide group, the patients received octreotide infusion from the start of the operation. On the other hand, the control group patients received physiologic saline infusion instead of octreotide. The Mean Arterial Pressure (MAP), heart rate, urine output, norepinephrine usage, and dosage during the three stages of OLT, and baseline and postoperative creatinine were recorded and compared between the two groups. Results: No significant differences were found between the two groups regarding the demographic characteristics and graft factors (P > 0.05). However, urine output and MAP during the three stages of OLT were significantly higher in the octreotide group compared to the control group (P < 0.05). Moreover, no significant difference was observed between the two groups regarding baseline as well as postoperative creatinine (P > 0.05). Conclusions: The results demonstrated that octreotide infusion during anesthesia for OLT not only augmented the vasoconstriction effect of norepinephrine to increase MAP, but also maintained better renal perfusion and urine output during the operation. Keywords: Liver Transplantation; Octreotide; UrineKeywords
This publication has 22 references indexed in Scilit:
- Preditores de injúria renal aguda em pacientes submetidos ao transplante ortotópico de fígado convencional sem desvio venovenosoABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 2011
- Renal Failure in CirrhosisThe New England Journal of Medicine, 2009
- Development of a risk stratification model for predicting acute renal failure in orthotopic liver transplantation recipients*Anaesthesia, 2008
- Acute Renal Disease, as Defined by the RIFLE Criteria, Post-Liver TransplantationAmerican Journal of Transplantation, 2006
- Renal Failure in End-stage Liver Disease and Liver TransplantationInternational Anesthesiology Clinics, 2006
- Hepatorenal syndrome – how to assess response to treatment and nonpharmacological therapyAlimentary Pharmacology & Therapeutics, 2004
- Midodrine, octreotide, albumin, and TIPS in selected patients with cirrhosis and type 1 hepatorenal syndromeJournal of Hepatology, 2004
- Octreotide in hepatorenal syndrome: A randomized, double-blind, placebo-controlled, crossover studyJournal of Hepatology, 2003
- Circulatory pathophysiology and options in hemodynamic management during adult liver transplantationLiver Transplantation and Surgery, 1997
- Complications of liver transplantationSeminars in Anesthesia, Perioperative Medicine and Pain, 1996