Coronary artery bypass graft. Ischaemic heart disease (chronic) NOS
Conditions
Interventions
Intervention 1: If the patient is in control group? from arrival to the Intensivel Care Unit to extubation time he will get the amount of 5 cm H2O of positive end expiratory pressure. Intervention 2:
Prevention
If the patient is in control group? from arrival to the Intensivel Care Unit to extubation time he will get the amount of 5 cm H2O of positive end expiratory pressure.
Patients in intervention group? if hemodynamic status is not disrupted? will get for 4 hours an average of PEEP of 10 cm H2O and until extubation time? PEEP of 5 cm H2O will be received.
Sponsors
Vice chancellor for research Lorestan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
30 Years to 80 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria in the study are: 1- patients who are in the 30-80 age range. 2- Lack of ejection fraction (EF) less than 30% in preoperative angiography tab. 3- No history of chronic obstructive airway disease (COPD). 4-No previous history of open heart surgery. 5- No history of broken ribs and a chest tube investments. 6- Their operation is not urgent. 7- The level of consciousness (GCS) of patients is equivalent to fifteen. Exclusion criteria are : 1- Time of aortic clamping more than 100 minutes. 2- Time of heart - lung bypass more than 120 minutes. 3??- Use of intra aortic balloon pump during and after surjery. 4- In case a patient needs ventilation protocol out of our research protocol should be excluded. 5- If a Sick has to be transferred to the operating room (OR) again. 6- If the patient is in intubation over 24 hours.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bottle chest drainage. Timepoint: When the chest tube take out. Method of measurement: According to the ranking of chest bottle.;Pao2/Fio2 ? o2-sat ? Paco2. Timepoint: Start entering the Intensive Care Unit, one hour, four hours, six hours later, just before tracheal extubation, one hour tafter the tracheal extubation , six hours after the tracheal extubation, and then twelve, twenty-four and forty-eight hours after tracheal extubation. Method of measurement: By arterial blood gas analyzers. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pneumothorax. Timepoint: Early entry into the Intensive Care Unit , one hour after tracheal extubation , and 5-7 days after surgery. Method of measurement: By chest radiography.;Pneumonia. Timepoint: Daily. Method of measurement: 1-The new infiltration in chest x- ray? 2- leukocytosis over twelve thousand ? 3- fever over 38.3° C? 4- purulent sputum.;Atelectasis. Timepoint: Early entry into the Intensive Care Unit , one hour after tracheal extubation , and 5-7 days after surgery. Method of measurement: By chest radiography. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactBehzad Moradi
Lorestan University of Medical Sciences
Outcome results
None listed