Health Condition 1: null- Patients undergoing coronary artery bypass surgery
Conditions
Interventions
Intervention1: High spinal anaesthesia along with general anaesthesia: spinal anaesthesia prior to general Anaesthesia at L2-L3 level or L3-L4 intervertebral space with 40 mg of 0.5% Heavy bupivacain
Sponsors
Pgimer chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: 30 to 70 yrs patient NYHA 1to 3 posted for coronary artery bypass surgery
Exclusion criteria
Exclusion criteria: Emergency or redo surgery,associated valvular heart disease, preexisting arrhythmias, history of COPD or asthma, BMI more than 30, anticipated difficult airway, opioid drug abuse or addiction, contraindications for spinal anaesthesia like local site infection, spinal deformity,derranged coagulation by platelet count less than 80000 or INR more than 1.5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of arrhythmiasTimepoint: Incidence of arrhythmias upto 72 hrs post surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of onset of arrhythmias after surgery Treatment response to anti arrhythmic or defibrillator Recurrence of arrhythmia after treatment Serum cortisol & blood sugar level Vasopressor or ionotrope used Duration of mechanical ventilation Duration of icu stayTimepoint: Serum cortisol on bypass & 6 hr post surgery Vasopressor ionotrope score& blood sugars at 15 min post bypass , 6 hrs,12 hrs & 24 hrs post surgery Blood sugar level hrly during surgery | — |
Countries
India
Contacts
Public ContactDr Bhupesh kumar
Pgimer chandigarh
Outcome results
None listed