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Abstract

ABSTRACT: BACKGROUND: Cardiac surgery can either induce acute renal failure or improve GFR by improving the cardiac performance. Acute renal shutdown (urine output 2.5 mg/dl) and 16 (18.6%) patients developed acute renal dysfunction (serum creatinine 1.6-2.4 mg/dl). The risk factors that were noted in the development of ARF were age, raised preoperative blood urea and creatinine, low cardiac output state, diabetes mellitus, oligurea, total cross clamp time total CPB time, and significant hypotension during the procedure or during intensive care unit (ICU) stay. Mortality rate for established ARF was extremely poor (50 %). CONCLUSION: Avoidance of this dangerous outcome looks better than trying to treat once it is fully established.

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