Perioperative Nitric Oxide Conditioning in Cardiac Surgery: A Paradigm Shift for Protecting Renal Function in CKD Patients (DEFENDER Trial Review)

Highlights

  • Perioperative inhaled nitric oxide (NO) reduces postoperative acute kidney injury (AKI) incidence in cardiac surgery patients with chronic kidney disease (CKD).
  • NO therapy preserves glomerular filtration rate (GFR) six months post surgery, suggesting protective effects against CKD progression.
  • Reduced postoperative pneumonia incidence indicates additional benefits of NO beyond renal protection.
  • NO administration is safe with no significant adverse hematologic or oxidative stress effects detected.

Background

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