Furosemide versus mannitol as a renal protection after adult Cardiac Surgery

Abstract

ccurrence of acute oliguric renal failure in the immediate postoperative period carries important morbidity and mortality after a successful cardiac surgical procedure. Adult cardiac and aortic surgical procedures are especially prone to this complication with the incidence varying between 2% to 15% and the mortality rate as high as 40% to 60%. Some of the factors that contribute to renal failure in the postoperative period are advanced age, preexisting renal insufficiency, preoperative left ventricular dysfunction, low cardiac output in the perioperative period, and performance of operations other than isolated CABG, prolonged aortic cross-clamp, and cardiopulmonary bypass time.