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Central and Peripheral Arterial Pressure Decoupling In Cardio-Pulmonary Bypass

Not Applicable
Completed
Conditions
Cardiac Surgery
Extracorporeal Circulation
Cardiopulmonary 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
Inclusion Criteria
  • Scheduled patient for coronary or valvular surgery with cardiopulmonary bypass
  • Cardiopulmonary bypass is at least 90 minutes
  • Written consent is needed
Read More
Exclusion Criteria
  • Patient with heart rate disorder
  • Patient with aortic dissection
  • Dobutamine/milrinone/levosimendan treatment before surgery
  • Patient with heart rate due to a pacemaker
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Pulse wave's speed observational armNon-invasive blood pressure oscillometer (NIBP) implementationWhole patients for who the pulse wave's speed are measured during a cardiopulmonary bypass during cardiac surgery
Primary Outcome Measures
NameTimeMethod
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
NameTimeMethod

Trial Locations

Locations (1)

Hospices Civils de Lyon

🇫🇷

Bron, France

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