Cardiac Surgery, Cardiopulmonary Bypass, Rewarming Rate
Conditions
Keywords
Cardiopulmonary Bypass, Prognosis, Cardiac Surgery, Rewarming Rate
Brief summary
The purpose of this study is to investigate the relationship between rewarming rate during cardiopulmonary bypass and clinical prognosis in infants undergoing cardiac surgery.
Detailed description
There have been many studies indicating that rewarming management plays an important role in cardiac surgery. The purpose of this study is to investigate the relationship between rewarming rate during cardiopulmonary bypass and clinical prognosis in patients undergoing cardiac surgery. Infants undergoing cardiac surgery with cardiopulmonary bypass are randomly assigned to either a slow rewarming strategy (0.24 degrees C/min) or a fast rewarming strategy (0.5 degrees C/min).
Interventions
Rewarming rate:0.5 degrees C/min.
Rewarming rate:0.24 degrees C/min.
Sponsors
Study design
Eligibility
Inclusion criteria
* Infants who had underwent cardiac surgery with cardiopulmonary bypass
Exclusion criteria
* Preoperative liver or kidney disease or dysfunction * Preoperative coagulation disorder * Palliative operation or a second operation * Above 3 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| all cause mortality | one year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory failure | one month | — |
| ICU and hospital length of stay, and ICU readmissions | one month | — |
| Stroke and reversible ischemic neurologic deficit | one month | — |
| Acute renal failure | one month | — |
| Biochemical markers of myocardial necrosis | one month | Biochemical markers of myocardial necrosis(troponin and creatine kinase MB) |
| Perioperative complications | one month | Perioperative complications include sternal wound infection (deep and superficial), bacteremia, pneumonia, and major cardiovascular events (acute myocardial infarction, congestive heart failure, and cardiac arrhythmias. |
| Measures of inflammation | one month | Measures of inflammation (C-reactive protein, TNF-alpha; IL-6) and oxidative stress markers |
Countries
China