Anesthesia, Congenital Heart Disease, Hemodynamic Instability, Infant
Conditions
Keywords
norepinephrine, dopamine
Brief summary
Participants under general anesthesia will be randomly treated with an adjusted dose dopamine or norepinephrine to elevate 10% of mean arterial pressure. Systemic hemodynamic data is recorded by PRAM and the change of cardiac index is compared between groups.
Detailed description
After intubation under general anesthesia, radial arterial is cannulated and pressure transducer is connected to MostCare(core technique PRAM). CI, SVRI, SVI, SVV, dp/dt and HR are recorded before and after a infusion of dopamine or norepinephrine to elevate 10% of mean arterial pressure. Changes of these hemodynamic data are compared.
Interventions
to treat hypotension under general anesthesia with norepinephrine
to treat hypotension under general anesthesia with dopamine
Sponsors
Study design
Eligibility
Inclusion criteria
* undertake cardiac surgery for congenital heart disease
Exclusion criteria
* Aortic valve or aortic disease * severe arrhythmia * use of cardiovascular active drugs before anesthesia * need to use a combination of different cardiovascular support drugs after anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changes of cardiac index | 20 minutes | the differences of cardiac index between after and before the intervention (l/min/m2) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| changes of stroke volume index | 20 minutes | the differences of stroke volume index between after and before the intervention (ml/m2) |
| changes of systemic vascular resistance index | 20 minutes | the differences of systemic vascular resistance index between after and before the intervention(dyne ∙ sec ∙ m2/cm5) |
| changes of the maximal slope of systolic upstroke | 20 minutes | the differences of the maximal slope of systolic upstroke between after and before the intervention(mmHg/ms) |
| changes of heart rate | 20 minutes | the differences of heart rate between after and before the intervention (bpm) |
Countries
China