post-operative restoration of vigilance and cognition after cardiopulmonary bypass surgery MedDRA version: 9.1 Level: LLT Classification code 10066123 Term: Cardiopulmonary bypass
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Elective cardiosurgery (bypass surgery / prosthetic heart valve or reconstruction of the heat valve) - ASA classification II and III - Being of legal age - Written informed consent to participate in the clinical trial 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: 1. Known contraindication to physostigmine salicylate, such as bronchial asthma or hypersensitivity to sulfites 2. Stenoses of the intestinal tract and the bile ducts 3. Pregnancy 4. Neurological diseases 5. Left ventricular ejection fraction < 40 % 6. Simultaneous participation in other clinical trials or participation in other clinical trials within the last 30 days.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Improvement of the post-operative vigilance and cognitive functions after cardiosurgeries.;Secondary Objective: Reduction of the systemic inflammatory response after cardiosurgeries with extra-corporal circulation which is to be quantified by the examination of the pro-inflam¬ma¬¬tory and anti-inflammatory genes of immunocompetent cells in the serum (microarray). CRP, procalcitonin, body temperature SIRS criteria Blood count (leucocytes, platelets, Hb content) Hemodynamic parameters (heart rate, blood pressure, probably cardiac output) ScvO2 Catecholamine demand Bilirubin, creatine, ASAT, gamma-GT Blood gases Quantification of the post-operative analgesic demand Quantification of pain intensity Quantification of post-operative nausea Acquisition of health-related quality of life (SF36) ;Primary end point(s): Improvement of the post-operative vigilance and cognitive functions | — |
Countries
Germany