Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patient 40-80 years of age undergoing off pump coronary artery bypass grafting. NYHA III or less LVEF more than 30% Elective OPCAB
Exclusion criteria
Exclusion criteria: Pre-existing cerebrovascular insufficiency. Patients who have contra-indication to TEE probe insertion. Patients who are converted to on pump CABG . Poor LV function EF less than 30% Significant carotid artery stenosis. Previous stroke or head injury. Seizure Psychiatric illness Decompensated heart failure Emergency surgeries. Severely impaired liver and renal function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess Cardiac Output During Off-Pump Coronary Artery Bypass Grafting Using Near Infrared Spectroscopy between two different anesthetic agents propofol and sevoflurane.Timepoint: AT BASELINE WHEN PATIENT IS AWAKE, AFTER INDUCTION, AT POSITIONG FOR LEFT ANTERIOR DESCENDING GRAFTING, AT POSITIONG FOR LEFT CIRCUMFLEX GRAFTING, AT POSITIONING FOR RIGHT CORONARY ARTERY GRAFTING, POST SURGERY. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cardiac output & NIRS values positioning of LAD, LCX or OM, PDA or RCA, in Group-P & Group-S Percentage of fall in NIRS from the baseline. Intervention performed. Success rates of the intervention. Vasoactive ionotropic score, serum lactate clearance trend, Post-operative major adverse cardiac events, Length of ICU stay. Length of Hospital stay.Timepoint: AT BASELINE WHEN PATIENT IS AWAKE, AFTER INDUCTION, AT POSITIONG FOR LEFT ANTERIOR DESCENDING GRAFTING, AT POSITIONG FOR LEFT CIRCUMFLEX GRAFTING, AT POSITIONING FOR RIGHT CORONARY ARTERY GRAFTING, POST SURGERY. | — |
Countries
India
Contacts
Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum