NL-OMON45015
Completed
Not Applicable
Blood pressure and cardiac output - the influence on cerebral perfusion during cardiopulmonary bypass. - Parameters of cerebral perfusion
niversitair Medisch Centrum Utrecht0 sites32 target enrollmentTBD
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- patienten aan de cardiopulmonale bypass
- Sponsor
- niversitair Medisch Centrum Utrecht
- Enrollment
- 32
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •\- age over 18 years
- •\- undergoing cardiopulmonary bypass (CPB) for Coronary Artery Bypass Grafting (CABG)
- •\- having an appropriate temporal bone window for reliable TCD monitoring
- •\- needing pharmacological intervention because of hypotension before going on cardiopulmonary bypass.
Exclusion Criteria
- •\- requiring hypothermia during surgery
- •\- requiring emergency surgery
- •\- having a contraindication for phenylephrine
- •\- having known brain pathology (e.g. Cerebral Vascular Accident (CVA) or increased intracranial pressure)
- •\- having a history of severe carotid artery stenosis.
- •\- having variations in hemodynamic parameters outside safe limits as described below, during the interventions
- •\* The patient has no hypotension, defined as Mean Arterial Pressure (MAP) \<60mmHg in the period before CPB
- •\* Cardiac Output: change \> 20%
- •\* MAP: increase \> 30mmHg
- •\* Frontal lobe oxygenation (rSO2\): a 20% bilateral or unilateral reduction from baseline values or an absolute decrease below 50%
Outcomes
Primary Outcomes
Not specified
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