Circulatory System Coronary Artery Bypass Graft surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients 40-60 years old hemodynamically stable with normal or moderately impaired left ventricular function ejection fraction (EF) > 40%; who underwent elective coronary artery bypass graft surgery under high-dose opioid anesthesia on mechanical ventilation
Exclusion criteria
Exclusion criteria: - Patient refusal. - Pregnant patients. - Patients with neurologic disease - Patients with liver or renal insufficiency - Hemodynamic instability both intraoperative, post bypass or postoperative - Patients on high dose vasopressor or inotropes. - Patients need muscle relaxant. - Patients need postoperative mechanical ventilation more than 24 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| compare ketamine-propofol (KP) and ketamine-dexmedetomidine (KD) combinations for sedation and analgesia in patients after coronary artery bypass graft surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| hemodynamics, total fentanyl dose, duration of mechanical ventilation and any adverse outcome | — |
Countries
Egypt