Anesthesia
Conditions
Keywords
Clonidine, Hypertension Pulmonary, Cardiac Surgical Procedures
Brief summary
The aim of this study is to assess the ability of clonidine to reduce the mean pulmonary artery pressure in patients with pulmonary hypertension subjected to cardiac surgery.
Detailed description
Prospective, clinical-interventionist, randomized, and double-blind study. Patients with group 2 pulmonary hypertension will be included and subjected to cardiac surgery with extracorporeal circulation. Mean pulmonary artery pressure and the doses of dobutamine and sodium nitroprusside will be assessed four times: before (T0) administration of 2 μg/kg of intravenous clonidine or a placebo, 30 minutes after the onset of treatment (T1), immediately after extracorporeal circulation (T2), and 10 minutes after the injection of protamine (T3).
Interventions
Administration of 2 μg/kg of intravenous clonidine
Injection of placebo solution.
Sponsors
Study design
Eligibility
Inclusion criteria
* Signing an informed consent form, * Aged 18 to 80 years * Pulmonary hypertension due to left heart disease, * Physical status 2 or 3 according to the classification system of the American Society of Anesthesiologists, * Subjected to cardiac circulation with extracorporeal circulation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction pulmonary artery pressure | During intraoperative (hours) | Assessed four times: before (T0) administration of 2 μg·kg-1 of intravenous clonidine or a placebo, 30 minutes after the onset of treatment (T1), immediately after ECC (T2), and 10 minutes after the injection of protamine (T3). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Doses of Dobutamine | During intraoperative (hours) | Evaluate the need for using and dose of dobutamine immediately after extracorporeal circulation between groups. |
| Doses of Sodium nitroprusside | During intraoperative (hours) | Evaluate the need for using and dose of sodium nitroprusside immediately after extracorporeal circulation between groups. |
Countries
Brazil