Coronary Artery Bypass
Conditions
Keywords
elective surgery, CABG, One-lung ventilation, EZ Blockers, pleural effusion
Brief summary
Coronary artery bypass grafting is a current cardiac surgery. Internal thoracic artery is usually taking to restore coronary revascularization, and its dissection can lead to accidental or voluntary pleural effusions. Respiratory complications are frequent, due to the drainage required. In this study, the investigators propose one-lung ventilation to facilitate artery grafting and surgical procedure. The investigators will include all adult patients with elective coronary artery bypass surgery (CABG) by internal thoracic artery, in a prospective, controlled, randomized and monocentric study. The main objective is to demonstrate that one-lung ventilation using EZ-Blocker can reduce pleural effusion defined by presence of drainage and/or pneumothorax on X-ray chest in the ICU.
Interventions
the Blocker group, the EZ-Blocker will be set up after anesthesia induction and standard orotracheal intubation to allow lung exclusion during homolateral internal thoracic artery sampling, and thus a one-lung ventilation. This material will be removed at the end of surgical surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* elective CABG surgery with internal thoracic artery, with patient consent. * Patient who have french social security
Exclusion criteria
* Cardiac or thoracic past-history * polyurethane allergy * guardianship patient * endotracheal intern diameter too small to allow the EZ-Blocker introduction or the fiberscope * use of LASER immediately near the EZ-Blocker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pleural effusions after coronary artery bypass graft surgery | Day 0 | quantifying the number of thoracic drains (0, 1 or 2), as accidental or voluntary pleural effusion |
| absence of pneumothorax | Day 0 | verify the absence of pneumothorax to X-ray chest ( not drained pleural effusion). |
Countries
France
Contacts
CHU Amiens