The Impact Multi Modal Brain Monitoring on Patient Out Come After Adult Cardiac Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Intraoperative Neurophysiological Monitoring
- Sponsor
- Assiut University
- Enrollment
- 1200
- Locations
- 1
- Primary Endpoint
- S100 protein
- Last Updated
- 8 years ago
Overview
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.
Investigators
Dr Mohamed Shaaban Ali, PhD, MD
Associate Professor (Anesthesiology and Critical Care)- College of Medicine-Assiut University
Assiut University
Eligibility Criteria
Inclusion Criteria
- •Elective cardiac surgery with cardiopulmonary bypass
- •Valve replacement
- •Coronary artery bypass
Exclusion Criteria
- •Emergency surgery
- •Renal impairment
- •Diabetes Mellitus
Outcomes
Primary Outcomes
S100 protein
Time Frame: up to 24 hours
S100 protein (marker of brain injury)
Secondary Outcomes
- Major neurological out come as stoke(up to 30 days after surgery)
- Mini-mental state examination(up to 30 days after surgery)
- Duration of mechanical ventilation(up to 30 days after surgery)
- Hospital stay(up to 30 days after surgery)
- Western perioperative neurological scale(up to 30 days after surgery)