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Propofol Pharmacokinetics and Pharmacodynamics During Cardiopulmonary Bypass

Completed
Conditions
Coronary Artery Disease
Cardiopulmonary Bypass
Coronary Artery Bypass Graft
Registration Number
NCT00622791
Lead Sponsor
University of Sao Paulo
Brief Summary

Cardiopulmonary bypass (CPB) is known to alter pharmacokinetics (PK) and brain sensitivity to several drugs, including propofol. Few studies, however, have tested if propofol pharmacokinetical alterations observed after CPB could contribute to the increased hypnotic effect of propofol after CPB. This study was designed to test the hypothesis that changes in the PK of propofol contribute to an increase in its hypnotic effects after CPB as evidenced by changes in bispectral index (BIS) values.

Twenty undergoing coronary artery bypass graft patients will be allocated in two groups: 1) CPB groups and 2) off-pump coronary artery bypass graft. Bispectral Index values and blood samples for plasma propofol concentration measurements will be collected along the surgery and up to 12 hours in the post-operative period. Plasma propofol concentrations, Bispectral index values and propofol PK will be compared between the groups.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Isolated coronary artery bypass indication
  • Left ventricular ejection fraction greater than 50 %
  • Absence of preoperative pulmonary dysfunction
Exclusion Criteria
  • Intra and postoperative circulatory shock
  • Postoperative pulmonary dysfunction

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Propofol pharmacodynamics and pharmacokinetics
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

🇧🇷

São Paulo, Brazil

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