Health Condition 1: I089- Rheumatic multiple valve disease,unspecified Health Condition 2: I349- Nonrheumatic mitral valve disorder, unspecified Health Condition 3: I359- Nonrheumatic aortic valve disorder, unspecified Health Condition 4: I369- Nonrheumatic tricuspid valve disorder, unspecified Health Condition 5: I379- Nonrheumatic pulmonary valve disorder, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Elective, primary cardiac surgery: Valve replacements or valve repairs 2. Complete CPB and cardioplegic arrest, with an expected CPB duration>90 minutes and lowest core temperature during CPB - 28 C
Exclusion criteria
Exclusion criteria: 1.Patient refusal for study 2.Emergent surgeries. 3.Minimally invasive surgeries. 4.Procedures requiring deep hypothermic circulatory arrest 5.Coagulation disorder 6.Severe chronic renal failure (receipt of dialysis or a serum creatinine level >3.0 mg/dl), 7.Liver dysfunction (elevated liver enzymes >3 SD) 8.Previous cerebrovascular accident 9.Obesity (BMI >30Kg/m 2)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decline in postoperative renal functionTimepoint: 24 hours post-surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Liver Dysfunction (AHI Acute Hepatic Injury)Timepoint: First postoperative ALT value within 24 hours;Inotrope requirementTimepoint: Measured 6-hourly for the first 24 hours after ICU admission;Prolonged ICU stayTimepoint: ICU stay more than 48 hours;Ventilation Duration (Weaning Time)Timepoint: From ICU admission until extubation. (prolonged if more than 24 hours postoperatively);Blood Transfusion RequirementsTimepoint: Intraoperative and postoperative period (0 24 hrs);Hospital MortalityTimepoint: From surgery until discharge;Requirement of Mechanical Circulatory Support or Other Adverse EventsTimepoint: From surgery until discharge | — |
Countries
India
Contacts
Narayana health city, Bengaluru