Health Condition 1: null- Patients of age 18-50 years of either gender, undergoing elective heart valve surgeries under cardiopulmonary bypass.
Conditions
Interventions
Control Intervention1: Plasmalyte-A: This group will receive Plasmalyte-A as CPB prime fluid. Cardioplegia solution and peripheral intra vascular crystalloid fluid will also contain plasmalyte-A.
Con
Sponsors
VARDHMAN MAHAVIR MEDICAL COLLEGE AND SAFDARJUNG HOSPITAL NEW DELHI
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective heart valve surgeries under cardiopulmonary bypass.
Exclusion criteria
Exclusion criteria: 1. Patients with deranged acid base metabolism pre-operatively. 2. Patients undergoing surgery for complex congenital heart diseases. 3. Patients with renal dysfunction (serum creatinine >1.5mg%).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the metabolic effects of Ringer Lactate and Plasmalyte-A as cardiopulmonary bypass prime in causing intra and post operative acidosis in valve replacement surgeries.Timepoint: 1. 5 minutes before initiating cardiopulmonary bypass 2. 30 minutes after initiating cardiopulmonary bypass 3. 60 minutes after initiating cardiopulmonary bypass 4. 90 minutes after initiating cardiopulmonary bypass 5. After termination of cardiopulmonary bypass 6. After half hour stay in the ICU | — |
Secondary
| Measure | Time frame |
|---|---|
| a) To study the effect of Ringer Lactate and Plasmalyte-A as cardiopulmonary bypass prime on renal parameters ( urea, creatinine, creatinine clearance ). b) Effect of study fluids on blood pressure and cardiac rhythm in intra and post bypass period if any. Timepoint: 1. 5 minutes before initiating cardiopulmonary bypass 2. 30 minutes after initiating cardiopulmonary bypass 3. 60 minutes after initiating cardiopulmonary bypass 4. 90 minutes after initiating cardiopulmonary bypass 5. After termination of cardiopulmonary bypass 6. After half hour stay in the ICU 7. Kidey function test 24 hours before and after surgery | — |
Countries
India
Contacts
Public ContactDr Surabhi Sandill
Vardhman Mahavir Medical College and Safdarjung Hospital
Outcome results
None listed