Compression of Non-invasive Forehead Skin Temperature to Core Temperature in Cardiac Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 33
- 主要终点
- comparison of skin temperature and nasopharyngeal temperature
研究概览
简要总结
This study is to see if the zero-heat-flux (ZHF) thermometry monitoring in cardiac surgery with moderate hypothermic cardiopulmonary bypass differs from Temp-NP, which reflects central body temperature 30 minutes after the end of the cardiac surgery.
详细描述
This study is a single organ, prospective study of patients who are scheduled to perform cardiopulmonary surgery to compare noninvasive skin temperature attached to the forehead with core temperature after cardiopulmonary bypass in cardiac surgery.
anesthesia induction and maintenance use standard systemic anesthesia protocols using propofol-remifentanil-rocurium. Even before inducing anesthesia, it will start monitoring ECGs, noninvasive blood pigmentation, local cerebral oxygen saturation, blood pressure and heart rate.
After anesthesia induction and intraperitoneal intubation, the Temp-NP Hardness Ultrasound and Cardiac Output Monitoring through pulmonary artery catheter are initiated.
Before and after cardiopulmonary bypass, adjust the respiration rate of FiO2 04-0.5 so that the end tidal CO2 is 35-40 mmHg. Apply a positive end-expiratory pressure of 8 mmHg at the end of the period.
For surgery, heparin 3 mg/kg is administered, cardiopulmonary system is operated at medium-low body temperature, cardiopulmonary system is administered, and heart surgery is initiated from a cardiac standstill state. After the heart valve and coronary artery transplantation period, warm up to raise body temperature.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 19 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients over 19 years of age who are scheduled to undergo cardiac surgery are expected to apply cardiopulmonary bypass.
- •Patients Signed to Participate in Research
排除标准
- •1 Patient who refuses to sign consent form
- •Under 19 Criteria for exclusion during research
- •In case a patient who decides to participate in a study refuses to make a decision or reverses (rejects) a decision after participation
- •Patients who fail to perform Temp-NP surveillance during heart surgery
- •Deep hypothermia patients
- •Continuing the study is detrimental to the welfare of the study subjects
结局指标
主要结局
comparison of skin temperature and nasopharyngeal temperature
时间窗: 30 minutes after cardiopulmonary bypass
comparison of Temp-ZHF vs. Temp-NP after cardiopulmonary bypass
次要结局
- comparison between skin temperature and PA catheter temperature(30 minutes after cardiopulmonary bypass)
研究者
Tae-Yop Kim, MD PhD
Professor Anesthesiology
Konkuk University Medical Center
