Effect of Drug in CABAG Patients
Conditions
Brief summary
50 patients of both sexes undergoing elective CABG surgery will be randomly divided into 2 groups, study group (Dex) group and control group (C) to determine the effect of dexmedetomidine on the peri-operative hemodynamic changes during CABG surgery.
Detailed description
The effect of dexmedetomidine during CABG surgery is studied regarding Ventricular function, pre bypass and post bypass using the transoeophageal echo (TEE), post-operative by transthoracic echocardiography (TTE) on day of surgery and after extubation. Incidence of intraoperative and post operative ischemia and arrhythmias using Electrocardiogram (ECG) as well as the length of ICU and hospital stay.
Interventions
a central sympatholytic drug
saline is given to control group
Sponsors
Study design
Eligibility
Inclusion criteria
* undergoing elective CABG surgery
Exclusion criteria
* Patient refusal * Dementia patients * Poor ventricular function with ejection fraction below 40% * Asthmatic patients * Uncontrolled diabetic patients with HbA1c above 8 * Combined surgeries (CABG+ valves) * Emergency surgeries. * Pre-existing arrhythmia * Patients with renal impairment * Patients with hepatic impairment * Patients with heart block * Off-pump CABG
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intra-operative ventricular function. | Intraoperative | global systolic function Ejection Fraction by TEE intraoperative |
| post-operative ventricular function. | Up to 24 hours postoperative | global systolic function Ejection Fraction by TTE postoperative |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hemodynamics | Immediate postoperative and up to 24 hours postoperative | Heart Rate (beat/minute), |
Countries
Egypt