A randomised controlled trial of nitric oxide administration during cardiopulmonary bypass in neonates undergoing Arterial Switch Operation for repair of transposition of the great arteries.
- Conditions
- congenital heart diseasetransposition of the great arteriesSurgery - Other surgeryCardiovascular - Other cardiovascular diseasesReproductive Health and Childbirth - Complications of newborn
- Registration Number
- ACTRN12618000089235
- Lead Sponsor
- Christopher James
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 800
•Neonate diagnosed with TGA requiring Arterial Switch Operation
•Consent of parents/guardian.
•Signs of persistently elevated pulmonary vascular resistance preoperatively requiring iNO or preoperative use of drugs involved in the NO pathway, such as nitro-glycerine, sildenafil
•Requirement for ECLS prior to surgery
•Concurrent viral or bacterial acute or chronic infection, including pulmonary conditions such as pneumonia
•Pre-operative acute respiratory distress syndrome
•Cardiac arrest prior to surgery
•Prior surgical exposure to cardio-pulmonary bypass
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Composite primary outcome: Incidence of post-operative: cardiac arrest, delayed sternal closure, need for extracorporeal membranous oxygenation (ECMO), or death.[Hospital discharge]
- Secondary Outcome Measures
Name Time Method ength of stay in ICU as assessed from review of the medical records[date of discharge from PICU];length of hospital stay as assessed from review of the medical records [hospital discharge date];ventilator free days as assessed from review of the medical records[date of discharge from PICU];inotrope free days as assessed from review of the medical records [date of discharge from PICU];nitric oxide free days as assessed from review of the medical records[date of discharge from PICU];dialysis free days as assessed from review of the medical records[date of discharge from PICU];ECMO free days as assessed from review of the medical records [date of discharge from PICU];days with open sternum as assessed from review of the medical records [date of discharge from PICU]