Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Scheduled for elective off-pump CABG with general anesthesia, invasive mechanical ventilation, conventional median sternotomy or minimally invasive thoracotomy.
Exclusion criteria
Exclusion criteria: 1.Patients were excluded in case of emergent or redo surgeries 2.Patients with history of COPD. 3.Patients with known pulmonary Hypertension 4.Patients with EF less than forty five percentage in Echocardiography 5.Patients with significant history of smoking addiction 6.Body mass index greater than thirty five kilograms per square meter 7.Patient Refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence and severity of postoperative pulmonary complications assessed using composite scoring, including Postoperative Atelectasis Severity Score, CURB-65 Severity Score, Ventilator Dependence Severity Score, Pleural Effusion Severity Score, and Asthma Severity Score (adapted for Bronchospasm), in patients undergoing Off-Pump CABG and Minimally Invasive Off-Pump CABG.Timepoint: Assessed at twenty four, forty eight and seventy two hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of extubation from completion of surgery, Need for re-intubation, Duration of ICU stay, Post extubation ABG(pao2/fio2 ratio,pH, PaCO2), number of grafts used.Timepoint: Assessed at twenty four, forty-eight, & seventy two hours. | — |
Countries
India
Contacts
Department of Cardiac Anesthesiology,Sri Ramachandra Institute of Higher Education and Research, No. 1, Ramachandra Nagar, Porur, Chennai – 600 116.