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Checking the effect of nebulised dexmedetomidine on pulmonary blood pressure in cardiac surgeries

Not Applicable
Registration Number
CTRI/2022/06/043086
Lead Sponsor
one
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Inclusion Criteria

1. Age 18-55 years

2. Both genders

3. Elective cardiac surgery

4. Mitral valve repair or replacement

5. Mitral stenosis, mitral regurgitation

6. Coronary artery bypass graft with mitral valve replacement

Exclusion Criteria

EXCLUSION CRITERIA

1. Anticipated difficult airway.

2. Preoperative heart rate < 50 bpm

3. Uncontrolled AF and ventricular rate

4. Second degree heart block and bundle branch blocks

5. Patients with both mitral and aortic valve disease

6. Right atrial mass or thrombus

7. Emergency surgery

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Compare change in pulmonary artery systolic pressure (PASP) and mean pulmonary artery pressures (mPAP) during laryngoscopy and intubation.Timepoint: Within 2 successful intubation attempts
Secondary Outcome Measures
NameTimeMethod
Compare change in pulmonary vascular resistance (PVR)during laryngoscopes and intubationTimepoint: every 1 minute of induction of anesthesia till 15 minutes following intubation;Compare dose of inotropes or vasopressors requiredTimepoint: every 1 minute of induction of anesthesia till 15 minutes following intubation;Compare dose of propofol and fentanyl required during intubation response to optimise blood pressureTimepoint: every 1 minute of induction of anesthesia till 15 minutes following intubation;Compare PASP and systolic blood pressure (SBP) ratio (PASP/SBP) during laryngoscopy and intubationTimepoint: every 1 minute of induction of anesthesia till 15 minutes following intubation;Compare PASP, PADP, mPAP, PVR, SBP, DBP, MAP, systemic vascular resistance, cardiac output (CO) and cardiac index (CI)Timepoint: every 1 minute of induction of anesthesia till 15 minutes following intubation
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