Determination of Optimal Sweep Gas Flow for Different Phases of Cardiopulmonary Bypass, Optimal Sweep Gas Flow
Conditions
Keywords
sweep gas flow, rewarming, cardiopulmonary bypass, alkalosis
Brief summary
The investigators designed this prospective observational study with the theory that alkalosis caused by decreased CO2 solubility due to temperature increase during the rewarming period of the Cardiopulmonary Bypass could be prevented by reducing the sweep gas flow during the rewarming period.
Interventions
Decreased gas flow causes PaCO2 to elevate and prevents alkalosis
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 18 years of age * Elective CPB surgery
Exclusion criteria
* Patients undergoing minimally invasive surgery * Patients undergoing robotic cardiac surgery, * Patients undergoing deep hypothermia, * Patients undergoing total circulatory arrest, * Patients whose FiO2 requirement is high that cannot be applied to target gas flow
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Arterial pH lever lower than 7.30 | during the cardiopulmonary bypass and postoperative 24th hour | maintaining physiological pH |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rSO2 20% below initial value | during the cardiopulmonary bypass | observing the rSO2 of brain during rewarming period |
Countries
Turkey (Türkiye)