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Reduction of Pulmonary Artery Pressure in Patients Subjected to Cardiac Surgery

Intravenous Clonidine Does Not Reduce Pulmonary Artery Pressure in Patients Subjected to Cardiac

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01597427
Enrollment
29
Registered
2012-05-14
Start date
2009-03-31
Completion date
2012-03-31
Last updated
2012-05-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anesthesia

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

DRUGClonidine

Administration of 2 μg/kg of intravenous clonidine

DRUGPlacebo

Injection of placebo solution.

Sponsors

Federal University of São Paulo
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Reduction pulmonary artery pressureDuring 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

MeasureTime frameDescription
Doses of DobutamineDuring intraoperative (hours)Evaluate the need for using and dose of dobutamine immediately after extracorporeal circulation between groups.
Doses of Sodium nitroprussideDuring intraoperative (hours)Evaluate the need for using and dose of sodium nitroprusside immediately after extracorporeal circulation between groups.

Countries

Brazil

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026