coronary artery bypass grafting
Conditions
Interventions
Administering Helium as preconditioning or postconditioning treatment. One
group of patients will receive 3 * 5 minutes of Helium just before aortic cross
clamping (preconditioning, PreC, group 2),
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Age: * 18 Years, Patients who have to undergo elective cardiac surgery (CABG without valve surgery), Written informed consent
Exclusion criteria
Exclusion criteria: Age * 18 years, Emergency operations, Pregnancy, Severe COPD, Absent informed consent, SaO2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameters are detection of signalling pathway molecules involved in anaesthetic preconditioning (PKC-e, p38MAPK, ERK and HSP27). This will be done by molecular analysis of myocardial tissue samples in our laboratory. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters are cardiac enzyme release after surgery (troponine T, CPK, CK-MB) and haemodynamics during surgery measured by transoesophageal echocardiography (TEE). Furthermore, several biomarkers will be investigated to see whether helium has a protective effect against surgery induced tissue damage in other organs; urine N-acetyl-glucosaminase (NAG) to estimate kidney damage, Intestinal-type fatty acid binding protein (I-FABP)/liver-type fatty acid binding protein (L-FABP)/ heart-type fatty acid binding protein (H-FABP) to estimate intestinal injury, and *-glutathione S-transferase (*-GST) to estimate liver damage | — |
Countries
Netherlands
Outcome results
None listed