Health Condition 1: I089- Rheumatic multiple valve disease,unspecified
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
Ediga Pranaya
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients undergoing single/multiple cardiac valve surgery
Exclusion criteria
Exclusion criteria: 1.Declined consent. 2. Reoperative/ emergency surgery. 3. Known case of chronic kidney disease (CKD) as per KDIGO 2024 GFR category G3a-G5 in perioperative period. 4. Known case of chronic liver disease( CLD) (Child Pugh Score B,C) in the perioperative period 5. Patients requiring mechanical ventilation/ inotropic/ vasopressor support or mechanical cardiac support prior to induction of anaesthesia. 6. Poor transthoracic echocardiography window
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary- To estimate the prevalence of significant venous congestion assessed by VExUS (more than or equal to grade 2) in perioperative period of adult heart valve surgeryTimepoint: 1. Prior to induction of anesthesia(T1) 2. At the time of admission to cardiac surgical ICU after the surgery(T2) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate the association between the severity of venous congestion with right atrial and right ventricular dimensions, right and left ventricular systolic function, severity of tricuspid regurgitation, NYHA grade, incidence of AKI, SIELI, 28 day mortality, prolonged ICU stay( more than 7 days). 2. To compare the prevalence and severity of venous congestion among different types of cardiac valvular pathologies in perioperative period of adult heart valve surgery.Timepoint: 1. Prior to induction of anaesthesia(T1) 2. At the time of admission to cardiac surgical ICU after the surgery(T2) | — |
Countries
India
Contacts
Public ContactDr Indranil Biswas
Postgraduate Institute of Medical Education and Research
Outcome results
None listed