Heart Valve Diseases
Conditions
Keywords
depth of anesthesia, valve surgery
Brief summary
The aim of our study was to evaluate the significance of monitoring anesthetic depth for the conduct of anesthesia and the early postoperative period in patients subjected to surgical correction of combined valvular disorders.
Detailed description
Our aim was to evaluate the effect of monitoring anesthetic depth on duration of postoperative mechanical ventilation and ICU stay after surgical correction of combined valvular disorders.
Interventions
intraoperative maintenance of anesthesia with propofol under control of cerebral state index at 40-60 points
Sponsors
Study design
Eligibility
Inclusion criteria
* requirement of surgical correction of two or more valves
Exclusion criteria
* no
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| duration of postoperative mechanical ventilation | 24 hours postoperatively | Criteria for termination of postoperative respiratory support were the following: patient able to cooperate; adequate muscular tone; SpO2 \> 95% with FiO2 0.5; PaCO2 \< 45 mm Hg; postoperative bleeding rate \< 50 mL hr-1; stable hemodynamics without inotropic/vasopressor support; body temperature of \> 35 °C. Temporary pacing was not regarded as a contraindication for tracheal extubation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| length of ICU stay | 7 days postoperatively | The time until 'fit for ICU discharge' criteria as well as the actual length of the ICU stay were registered. The 'fit for ICU discharge' criteria included the following: fully oriented patient, SaO2 \> 90% on room air, no episodes of severe arrhythmias, bleeding \< 50 mL hr-1, diuresis \> 0.5 mL kg-1 hr-1, no need for inotropic/vasopressor support and no signs of ischemia on ECG. |