Randomized Trialhigh evidence

Perioperative Nitric Oxide Conditioning Reduces Acute Kidney Injury in Cardiac Surgery Patients with Chronic Kidney Disease (the DEFENDER Trial): A Randomized Controlled Trial.

Anesthesiology·August 1, 2025·PMID 40203179

Why it matters

Cardiac surgery patients with CKD are at high risk for AKI, which worsens long-term outcomes. This trial provides evidence that a simple, safe pharmacologic intervention can reduce AKI and slow renal decline, addressing a critical unmet need in perioperative care.

Infographic summary of Perioperative Nitric Oxide Conditioning Reduces Acute Kidney Injury in Cardiac Surgery Patients with Chronic Kidney Disease (the DEFENDER Trial): A Randomized Controlled Trial.
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