Anesthesia, Coronary Artery Bypass Grafting, Hypothermia
Conditions
Keywords
Hypothermia/complications/etiology, coronary artery bypass/adverse effects
Brief summary
Although data on cardioprotective effects (as profile of troponin I)of perioperative maintenance of normothermia during CABGs are already known, little is known about the effects of maintaining normothermia on clinical outcomes of patients submitted to coronary surgery. Being acute renal failure (ARF) and atrial fibrillation (AF) the two most frequent complications of this surgery, this study compare as primary end point the rate of postoperative ARF and AF in two group of patients, one actively warmed with Thermowrap and the control group receiving standard institutional care.
Interventions
Thermowrap set at 37 °C before induction of anesthesia and maintained until initiation of CPB; during CPB set to monitoring and set again to 37 °C from rewarming during CPB to end of surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* Isolated on pump CABGs * Age 18 - 85 * Preoperative core temperature 36- 37.5 °C
Exclusion criteria
* History of fever in the last week * Severe renal, hepatic,hematologic or pulmonary disease * Chronic Atrial fibrillation * History of acute MI in the last week * Previous neurologic abnormalities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of atrial fibrillation | First 48 postoperative hours |
| Rate of acute renal failure | First 48 postoperative hours |
Secondary
| Measure | Time frame |
|---|---|
| Total units of RBCs transfused | First 48 postoperative hours |
| Length of mechanical ventilation | First 48 postoperative hours |
| Rate of in-hospital mortality | 30 postoperative days |
| Rate of Myocardial infarction and low output syndrome | First postoperative 48 hours |
| Hospital length of stay | 30 postoperative days |
| Cardiac Troponin I (cTnI) curve | First postoperative 24 hours |
| Intensive Care Unit length of stay | 30 postoperative days |
| Rate of Type I neurological injury | First 48 postoperative hours |
Countries
Italy