Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Trans esophageal echocardiography: After anesthesia induction all patients are evaluated with trans esophageal echocardiography for mitral valve parameters. And after 3mins of induction
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: .1)Patients with mitral stenosis undergoing elective mitral valve replacement under cardiopulmonary bypass. 2) Age >18 and < 70years
Exclusion criteria
Exclusion criteria: 1. Patients not willing to participate in study 2. More than mild mitral regurgitation. 3. Patients with associated aortic, pulmonary and tricuspid valve disease 4. Patients with associated coronary artery disease, severe PAH. 5. Redo-surgeries 6. Emergency surgeries 7. Preoperative inotropic supports. 8. Preoperative intra-aortic balloon pump (IABP) 9. sub-optimal pre-induction and post-induction transthoracic echo images 10. Patients having post balloon mitral valvotomy atrial septal defect or any significant pathology that would affect hemodynamic parameters and echocardiographic profile.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the effects of sevoflurane and Propofol induction on the following echocardiographic parameters in MS patients undergoing MVR 1. Mitral valve area (planimetry & continuity equation) 2. Peak velocity 3. Peak and mean gradient 4. Pressure half time (PHT) 5. Deceleration Time (DT) 6. Pulmonary artery systolic pressureTimepoint: 0 and 3 minutes of anesthesia | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare the following hemodynamic parameters with Propofol & sevoflurane induction a). Mean arterial pressure(MAP) b). Cardiac output (CO) c). Heart rate ( HR) 2. To compare the Left ventricular & right ventricular function with Propofol & sevoflurane inductionTimepoint: 0 & 3 minutes of anesthesia | — |
Countries
India
Contacts
Public ContactMohammed Jaffer Sherif
Sree chitra tirunal institute of medical science
Outcome results
None listed