Central and Peripheral Arterial Pressure Decoupling In Cardio-Pulmonary Bypass
- Conditions
- Cardiac SurgeryExtracorporeal CirculationCardiopulmonary Bypass
- Interventions
- Procedure: Non-invasive blood pressure oscillometer (NIBP) implementation
- Registration Number
- NCT02652858
- Lead Sponsor
- Hospices Civils de Lyon
- Brief Summary
Central and peripheral arterial pressure decoupling occurs in some clinical conditions like sepsis or cardiopulmonary bypass. This decoupling may leed to unsuitable decisions such as the use of catecholamines.
The aim of this study is to evaluate the pulse wave's speed as a marker of central and peripheral arterial pressure decoupling in a scheduled condition which is the cardiopulmonary bypass during cardiac surgery.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Scheduled patient for coronary or valvular surgery with cardiopulmonary bypass
- Cardiopulmonary bypass is at least 90 minutes
- Written consent is needed
- Patient with heart rate disorder
- Patient with aortic dissection
- Dobutamine/milrinone/levosimendan treatment before surgery
- Patient with heart rate due to a pacemaker
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Pulse wave's speed observational arm Non-invasive blood pressure oscillometer (NIBP) implementation Whole patients for who the pulse wave's speed are measured during a cardiopulmonary bypass during cardiac surgery
- Primary Outcome Measures
Name Time Method Measurement of femoral, radial and humeral pulses during a cardiopulmonary by-pass (CPBP). Day one (6 times) Pulse wave's speed is calculated using 1) time between ECG R-wave and local detection of the pulse wave (femoral, humeral and radial) 2) a length from heart to these sites.
Wave detection at femoral and humeral sites will use oscillometry and wave detection at radial site will use an invasive catheter which is always set for this surgery.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Hospices Civils de Lyon
🇫🇷Bron, France