Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery Health Condition 2: I350- Nonrheumatic aortic (valve) stenosis Health Condition 3: I060- Rheumatic aortic stenosis Health Condition 4: I712- Thoracic aortic aneurysm, withoutrupture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of either sex of the age group 18-65 years, undergoing Coronary Artery Bypass Grafting/ Valve replacement or repair surgery/ Combined Coronary Artery Bypass Grafting and Valve surgery/ Combined Valve and ascending aortic procedure/ surgery for correction or palliation of congenital heart diseases
Exclusion criteria
Exclusion criteria: 1.Allergy to any of the drugs to be administered 2. Significant Mitral Annular Calcification 3. Regional dysfunction in the basal myocardial segments 4. Surgical rings or prosthetic mitral valves 5. Severe LV dysfunction (LVEF 6. Pericardial disease 7. Poor echo window 8. Atrial fibrillation/Significant rhythm disturbance 9. H/o steroid use within last 6 months 10. H/o adrenal insufficiency 11. Significant Renal/Hepatic/CNS dysfunction 12. BMI > 35 kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate and compare the effects of anaesthetic induction by Propofol, Etomidate and Sevoflurane on the echocardiographic parameters of Left Ventricular Function (Peak Global Longitudinal Strain, Septal and Lateral Mitral Annular Sââ?¬â?¢) in adult patients undergoing cardiac surgeries.Timepoint: 1. Baseline 2. Post Induction (Upon reaching target BIS of 50) 3. Post Intubation (Within 1 minute after endotracheal intubation) | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate and compare the effects of anaesthetic induction by Propofol, Etomidate and Sevoflurane on the echocardiographic parameters of cardiac preload (LVEDVI), cardiac afterload (Ea), Left ventricular function (LV ejection fraction, Septal and Lateral Mitral Annular ââ?¬â?¢, Eââ?¬â?¢, Aââ?¬â?¢ velocities, Tei Index, P/V Ratio), Mitral inflow velocities (E velocity, A velocity, E wave deceleration time).Timepoint: 1. Baseline 2. Post Induction (Upon reaching target BIS of 50) 3. Post Intubation (Within 1 minute after endotracheal intubation);To find out correlation between the change in preload and afterload parameters (EDVI, Ea, SVRI) respectively and the change in the systolic function parameters (Peak Global Longitudinal Strain, EF, Tei Index, Septal and Lateral Mitral Annular Sââ?¬â?¢ velocities, P/V ratio) from baseline to that after inductionTimepoint: From baseline to after induction;To observe any side effects of the anaesthetic agents usedTimepoint: Throughout during the Induction and Intubation period | — |
Countries
India
Contacts
Post Graduate Institute of Medical Education and Research, Chandigarh