Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Intervention1: Goal directed therapy: In GDT group if the CI is less than 2.5 L/min/m2, MAP and PAWP will be assessed. If PAWP less than 12 mmHg, MAP less than 60mmhg, fluid boluses (200 ml aliquots
Sponsors
DR Vignesh T M
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients of both genders of age 18 to 90 yrs undergoing elective CABG (on CPB) with moderate and severe LV dysfunction (EF less than or equal to 40%) will be enrolled in this study.
Exclusion criteria
Exclusion criteria: 1)Patient refusal 2)Patients with EF more than 40% 3)Patients requiring IABP 4)Patients with cardiac dysrhythmias 5)Patients with contraindication to pulmonary artery catheter insertion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)To determine the total duration and dosage of inotropic support. 2)To determine the incidence of Acute kidney injury (AKI).Timepoint: 1)Assessed on 12hrs,24hrs,48hrs,72hrs,96hrs,120hrs,144hrs. 2)Assessed on 24hrs,48hrs,72hrs,96hrs,120hrs,144hrs,168hrs. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)The total duration of mechanical ventilation. 2)The length of stay (LOS) in ICU.Timepoint: 1)Assessed on 6hrs,12hrs,18hrs,24hrs,36hrs,48hrs,72hrs,96hrs,120hrs. 2)Assessed on 72hrs,96hrs,120hrs,144hrs,168hrs,192hrs,216hrs. | — |
Countries
India
Contacts
Public ContactDR Sunil chandra vidya sagar mutyala
Goa medical college
Outcome results
None listed