Anesthesia
Conditions
Brief summary
To examine the effects of the general anesthesia method chosen in non-cardiac surgical operations of patients with cardiac risk on the levels of cardiac markers
Detailed description
To examine the effects of the general anesthesia method chosen in non-cardiac surgical operations of patients with cardiac risk on the levels of cardiac markers like; serum levels of the Creatine Kinase, Creatine Kinase Myocardial Band, high sensitive troponin, heart-type fatty acid-binding protein, ischemia-modified albumin and albumin. And evaluate the effect of anesthesia method on haemodynamic.
Interventions
Anesthesia will be maintained with propofol (6-10 mg/kg/hour) and remifentanil (0.1-0.3 μg/kg/min).
Anesthesia will be maintained with sevoflurane (2 ml/min) 50% oxygen and remifentanil (0.1-0.3 μg/kg/min).
Sponsors
Study design
Eligibility
Inclusion criteria
* Being 18 years or older * Getting a score of 2 and above according to the Lee cardiac index * Having a non-cardiac surgical procedure that will take at least three hours * ASA II or III
Exclusion criteria
* Under 18 years old * Those who refused to participate in the study * Patients with chronic renal failure * Patients with creatinine value ≥ 1.5 mg/dl * Surgery that takes less than 3 hours * Patients with liver failure * Refusing to participate in the study * Being allergic to the drugs used
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| comparing serum levels of ischemia modified albumin | intraoperative period | serum levels of ischemia modified albumin (in terms of IU/ML) |
| comparing serum levels of heart fatty acid binding protein | intraoperative period | serum levels of heart fatty acid binding protein (in terms of mcg/L) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The effect of anesthesia method used in cardiac risk patients in terms of ephedrine consumption | intraoperative period | used ephedrine amount (mg) |