Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The patients scheduled to undergo on pump cardiac surgeries of American Society of Anesthesiologists (ASA) physical status class II/III, Hb >11 gm/dl and platelet count > 100000 will be enrolled in the study.
Exclusion criteria
Exclusion criteria: Patients who are not willing Emergency cardiac surgery Pre-operative subcutaneous LMWH Patients on DAPT drugs, heparin infusion Complex cardiac surgery Patient with liver dysfunction or pre-existing coagulation disorders Patients who are not fulfilling the criteria of ANH
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare ROTEM coagulation parameter (INTEM-CT) in patients with and without acute normovolumic haemodilutionTimepoint: T1: baseline value 10 min after induction and before ANH in both groups T2: 40 minute after induction (after ANH) T3: 5 min after protamine administration T4: 35 min after protamine administration (ANH re-transfusion) | — |
Secondary
| Measure | Time frame |
|---|---|
| To Quantify the changes in ROTEM coagulation parameter, Changes in Hct and electrolyte level (Na, K, HCO3, Ca, lactate, serum osmolarity), Chest tube drain output in first 24 hours, Number of Allogenic blood and blood products transfusion in first 24 hours postoperative period, re-exploration rate, pulmonary complications (reintubation, pneumonia), myocardial ischemia, acute renal failure, all-cause mortality at 30 days in both groups Timepoint: T1: baseline value 10 min after induction and before ANH in both groups T2: 40 minute after induction (after ANH) T3: 5 min after protamine administration T4: 35 min after protamine administration (ANH re-transfusion) | — |
Countries
India
Contacts
AIIMS Jodhpur