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Prospective observational study to ascertain changes in lung lung distensibility during protamine (drug) administration to reverse heparin (coagulant) and correlation with echo based right ventricular functio

Not Applicable
Conditions
Health Condition 1: I059- Rheumatic mitral valve disease, unspecified
Registration Number
CTRI/2023/06/053376
Lead Sponsor
DR Prabhat Tewari
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1 Age â?? From 18 Years To 60 Years

2 Gender â?? Both

3 Details â?? Patients 18-60 years old, undergoing sole mitral valve replacement, on cardiopulmonary bypass.

Exclusion Criteria

•Patients with severe Pre-op Pulmonary artery hypertension (RVSP >60 mmHg)

•Known case of Chronic obstructive pulmonary disease (COPD) and other known pulmonary disease

•Patients with h/o Balloon mitral valvotomy (BMV) or Closed mitral valvotomy (CMV)

•Patients with signs of heart failure

•Patients in atrial fibrillation, after weaning from Cardiopulmonary bypass

•Diabetic patients on insulin therapy

•Any skeletal problem involving thorax

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine changes in lung compliance during protamine administration to reverse heparin anticoagulation.Timepoint: â?¢Post intubation (baseline) <br/ ><br>â?¢Pre-protamine <br/ ><br>â?¢Every minute till 10 minutes after protamine test dose (PTD) has been administered <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
To study the changes in Right ventricle (RV) function (FAC, TAPSE, Sâ?? & RVSP) during protamine administration, and its correlation with change in lung complianceTimepoint: â?¢Post intubation (baseline) <br/ ><br>â?¢Pre-protamine <br/ ><br>â?¢5 minutes and 10 minutes after protamine test dose (PTD) has been administered <br/ ><br>
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