Xenon anesthesia in cardiac surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - age > 65years - patient scheduled for elective heart surgery with the use of cardiopulmonary bypass - dutch proficiency Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) no 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 190
Exclusion criteria
Exclusion criteria: intraoperative need for an increased fraction of inspired oxygen - Chronic obstructive lung disease (GOLD >II) - Critical preoperative state - Disabling neuropsychatric disorders - history of alcohol/drug abuse - increased intracranial pressure - presence of delirium at screening
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Incidence of postoperative delirium (POD) as assessed by the CAM;Secondary Objective: - Duration & severity of POD - Incidence of MACCE (major adverse cardiac & cerebral events) - Other cerebrovascular accidents not included in the MACCE - Postoperative renal function - Requirement for blood transfusion - duration of ICU & hospital stay - incidence of (serious) adverse events - intraoperative hemodynamic & respiratory profile - introperative use of inotropi/vasoactive medication;Primary end point(s): We hypothesize that in older cardiac surgical patients, the use of xenon-anesthesia reduces the incidence of Postoeprative delirum when compared to the conventionally used anesthetic sevoflurane.;Timepoint(s) of evaluation of this end point: daily until discharge of the patient | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): duration of postoperative delirium Incidence of major cardic and cerebral adverse events postoperative renal function duration of ICU and hospital stay intraoperative use of inotropic/vasoactive medication requirement for bloodtransfusion severity of postoperative critical illness (APACHE and SOFA score) intraoperative hemodynamic and respiratory profile;Timepoint(s) of evaluation of this end point: daily until discharge of the patient 6 months after surgery | — |
Countries
Belgium
Contacts
University Hospitals Leuven