Patients entering the post-operative cardiac intensive care unit following coronary artery reconstruction surgery (OPCAB)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - patients in the immediate post-operatieve phase after coronary artery reconstruction surgery (OPCAB). - age > or = 18 years - informed consent obtained before the surgery Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Patients with : - severe renal failure defined by the RIFLE Classification levels Risk, Failure and End-stage Kidney Failure - severe hepatic failure defined by a bilirubin level of > or = 3 mg/dl and/or a prothrombin level of 75 years - postoperative cardiac index < 2.2 for more than 2 hours - SvO2 < 60% for more than 2 hours - hypotension with a MAP < 60 mmHg for more than 2 hours - sedation agents other than remifentanyl and propofol including also Catapressan, Risperdal, Etumine - Remifentanyl dose exceeding 0.5 µg/kg/min - absence of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the accuracy, safety and robustness of a single-input-single output (SISO) model-based predictive closed-loop system to guide patient-individualized ICU sedation. ;Secondary Objective: To evaluate the interaction of propofol and remifentanil ;Primary end point(s): The primary end point of this study is the propofol and remifentanil dose needed to keep the BIS within the target range. Secundary end point is the hemodynamic stability of the patient. | — |
Countries
Belgium