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Multi Modal Brain Monitoring and Cardiac Surgery

Not Applicable
Conditions
Intraoperative Neurophysiological Monitoring
Registration Number
NCT02916069
Lead Sponsor
Assiut University
Brief Summary

Multimodal brain monitoring is feasible and can be used in formulating therapeutic strategies during cardiac surgery. Such monitoring may help to improve patient outcome and to reduce costs after cardiac surgery with CPB.

Detailed Description

The aim of this study is to use a combination of brain monitoring {Nearinfrared Spectroscopy (NIRS), Transcranial Doppler (TCD), bispectral index (BIS)} to formulate therapeutic strategies based on these monitors and to evaluate the impact on patient outcome.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1200
Inclusion Criteria
  • Elective cardiac surgery with cardiopulmonary bypass
  • Valve replacement
  • Coronary artery bypass
Exclusion Criteria
  • Emergency surgery
  • Hepatic
  • Renal impairment
  • Diabetes Mellitus

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
S100 proteinup to 24 hours

S100 protein (marker of brain injury)

Secondary Outcome Measures
NameTimeMethod
Major neurological out come as stokeup to 30 days after surgery
Mini-mental state examinationup to 30 days after surgery
Duration of mechanical ventilationup to 30 days after surgery
Hospital stayup to 30 days after surgery
Western perioperative neurological scaleup to 30 days after surgery

Trial Locations

Locations (1)

Faculty of medicine Assiut University

🇪🇬

Assiut, Egypt

Faculty of medicine Assiut University
🇪🇬Assiut, Egypt
Sayed K Abd-Elshafy, MD
Sub Investigator
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