Implication of Aortic Cross Clamping Time Upon Postoperative Respiratory Function in Adult Patients Undergoing Open Heart Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Bypass Complication
- Sponsor
- Assiut University
- Enrollment
- 53
- Locations
- 1
- Primary Endpoint
- quality of oxygenation
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Does the duration of cardiopulmonary bypass, and aortic cross clamping affects the post operative pulmonary function.
Detailed Description
Cardiac surgery usually is done under cardiopulmonary bypass. As the blood contacts with the artificial tubing of the circuit, there is release of mediators which affects pulmonary function. Of no doubt that the duration of cardiopulmonary bypass, and cross clamping time, will affect the spell over of such mediators. Follow up of the pulmonary function, and arterial blood gas is mandatory in such group of patients.
Investigators
Emad Zarief , MD
Lecturer of Anesthesia and critical care Medicine
Assiut University
Eligibility Criteria
Inclusion Criteria
- •adult patients
- •elective open heart surgery
Exclusion Criteria
- •Patients with myocardial ischemia or previous infarction
- •low ejection fraction \<30%
- •history of AF
- •implanted pacemaker
- •uncontrolled hypertension
- •renal impairment (creatinine \>1.8 mg/dl)
- •hepatic dysfunction
- •insulin dependent diabetes
- •chronic pulmonary disease
Outcomes
Primary Outcomes
quality of oxygenation
Time Frame: 48 hours postoperative
PaO2 mmHg
Secondary Outcomes
- ventilation(48 hours postoperative)
- carbon dioxide(48 hours)
- time to extubation(24 hours postoperative)