Health Condition 1: I52- Other heart disorders in diseasesclassified elsewhere
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Cardiac surgery patients above 18 years of age posted for elective cardiac surgery via midline sternotomy suitable for fast track cardiac anaesthesia
Exclusion criteria
Exclusion criteria: 1. Patients who refuse to participate in the study 2. Emergency surgery 3. Redo surgery 4. Patients with allergy or intolerance to study drugs 5. Patients with contraindications to spinal block 6. Patients with EUROSCORE more than 5 7. Patients with ASA class more than III 8. Patients with preoperative LV dysfunction (LVEF less than 40%) 9. Preoperative cardiac support (IV inotropes or vasopressors, IABP) 10. Patients on mechanical ventilation preoperatively 11. Patients with preoperative diabetes, liver or kidney dysfunction, pulmonary dysfunction, coagulopathy, sleep apnoea or OSA 12. Morbid obesity (BMI more than 35 kg/m2) 13. Addiction to study drugs 14. Any other condition as per anaesthetist s discretion that precludes fast track cardiac anaesthesia (CPB time more than 180 minutes , surgery duration exceeding 6 hours, incomplete surgical correction, massive blood transfusion, core body temperature less than 35oC, time to extubation more than 6 hours)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the time taken to extubation after cardiac surgery Timepoint: Baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare postoperative verbal analogue scale at rest and on coughing in the 1st 24 hours.Timepoint: After extubation, 2hrs, 6hrs, 12 hrs;To compare number of rescue analgesicsTimepoint: ;To compare postoperative inspiratory capacity after extubationTimepoint: After extubation, 2hrs, 6hrs, 12 hrs | — |
Countries
India
Contacts
All India Institute of Medical Sciences, New Delhi