Heart failure Circulatory System Heart failure
Conditions
Interventions
Participants are randomly allocated to group A (intervention) who receive Levosimendan (SIMDAX ®, country of origin Finland) 0.1mg/kg/min during the transanesthetic, postanesthetic and intensive thera
Sponsors
National Medical Center 'La Raza'
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adult patients aged over 18 years 2. Left ventricular ejection fraction ==30%. 3. NYHA III-IV. 4. IC = 2.5L 5. ASA II or ASA III
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Heart failure is recorded if CI <2.0 L/minm2 up to 48 hours postoperatively. 2. Low cardiac output defined 2 L/min/m2. Cardiac index is calculated from cardiac output, which is measured using the thermodilution technique via the Swan-Ganz catheter up to 48 hours postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Central venous pressure, pulmonary capillary wedge pressure, systemic vascular resistance are measured with a pulmonary artery catheter. 2. Arterial blood pressure is measured via an arterial catheter. 3. Mixed venous oxygen saturation (SV02) is measured by analysis of blood gases. All the above outcomes are assessed on arrival back in the ICU following surgery (T1) and 48 hours postoperatively (T2). | — |
Countries
Mexico
Outcome results
None listed