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Single Transpulmonary Thermodilution and Continuous Monitoring of Central Venous Oxygen Saturation During Off-pump Coronary Surgery

Not Applicable
Completed
Conditions
Goal Directed Therapy
Coronary Artery Disease
Hemodynamic Monitoring
Interventions
Device: Conventional monitoring
Device: Advanced monitoring
Registration Number
NCT00624494
Lead Sponsor
Northern State Medical University
Brief Summary

The aim of the present study was to evaluate the usefulness of an algorithm based on hemodynamic parameters obtained by single transpulmonary thermodilution (STD) combined with continuous monitoring of central venous oxygen saturation (ScvO2) for perioperative management of patients undergoing OPCAB.

Detailed Description

At the present time, there is an increasing tendency to perform off-pump coronary artery bypass grafting (OPCAB). However, OPCAB poses a variety of challenges from the point of view of the anesthesiologist and the intensivist. The aim of the present study was to evaluate the usefulness of an algorithm based on hemodynamic parameters obtained by single transpulmonary thermodilution (STD) combined with continuous monitoring of central venous oxygen saturation (ScvO2) for perioperative management of patients undergoing OPCAB.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Patients with coronary artery disease, ranked ASA II-III and scheduled for elective OPCAB
Exclusion Criteria
  • Age < 18 years
  • Severe valve dysfunction or peripheral vascular disease
  • Simultaneous interventions (carotid endarterectomy, aneurysm repair, etc.)
  • Transfer to CPB during surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Conventional monitoringConventional monitoringhemodynamic monitoring - conventional monitoring
Advanced monitoringAdvanced monitoringhemodynamic monitoring - advanced monitoring
Primary Outcome Measures
NameTimeMethod
length of hospital stayone month

Length of the hospital stays, Days

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Dep. of Anesthesiology, Northern SMU

🇷🇺

Arkhangelsk, Russian Federation

Dep. of Anesthesiology, Northern SMU
🇷🇺Arkhangelsk, Russian Federation
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