Single Transpulmonary Thermodilution and Continuous Monitoring of Central Venous Oxygen Saturation During Off-pump Coronary Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Coronary Artery Disease
- Sponsor
- Northern State Medical University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- length of hospital stay
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Mikhail Y. Kirov
Prof. M.Y. Kirov, MD, PhD
Northern State Medical University
Eligibility Criteria
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
Outcomes
Primary Outcomes
length of hospital stay
Time Frame: one month
Length of the hospital stays, Days