Use of Ringer lactate serum.
Conditions
Interventions
Intervention 1: Intervention group: After applying the principles of randomization and placing the patient in the intervention group and transferring the patient to the operating room, the necessary
Sponsors
Rajaei Cardiovascular Medical and Research Center
Eligibility
Sex/Gender
All
Age
30 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Age 30 to 70 years - 2.Weight 30 to 100 kg 3. No license for severe kidney or liver disease (creatinine more than 1.5 and liver enzymes more than 2 times normal) 4. Absence of severe heart failure (LVEF> 35%)
Exclusion criteria
Exclusion criteria: 1. Cardiac arrest of the patient during surgery or on the first day in the intensive care unit, 2. Severe postoperative bleeding on the first day (more than 1000 ml) in the intensive care unit 3. The patient returns to the pump for any reason 4. Intra-aortic implantation of a balloon pump or ECMO for any reason 5.Transfer of the patient to the intensive care unit with an open sternum 6. Need for high-dose inotropes (epinephrine or norepinephrine greater than 0.2 micrograms per kilogram of body weight per minute)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.level of lactate. Timepoint: 1. When the patient enters the operating room 2. After induction of anesthesia 3. Time off from the pump 4.Upon entering the ICU 5.Until the hour after entering the ICU 6.12 hours after entering the ICU 7.18 hours after entering the ICU. Method of measurement: Arterial blood sample and blood gas analyzer. | — |
Secondary
| Measure | Time frame |
|---|---|
| Level of Sodium,. Timepoint: 1. When the patient enters the operating room 2. After induction of anesthesia 3. Time off from the pump 4.Upon entering the ICU 5.Until the hour after entering the ICU 6.12 hours after entering the ICU 7.18 hours after entering the ICU. Method of measurement: Arterial blood sample and blood gas analyzer.;Level of Potasium. Timepoint: 1. When the patient enters the operating room 2. After induction of anesthesia 3. Time off from the pump 4.Upon entering the ICU 5.Until the hour after entering the ICU 6.12 hours after entering the ICU 7.18 hours after entering the ICU. Method of measurement: Arterial blood sample and blood gas analyzer.;Acidose. Timepoint: 1. When the patient enters the operating room 2. After induction of anesthesia 3. Time off from the pump 4.Upon entering the ICU 5.Until the hour after entering the ICU | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactRasool Azarfarin
Iran University of Medical Sciences
Outcome results
None listed