Paediatrics Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1-Age from 1 to 10 years 2-on pump elective correction of congenital heart diseases 3- pulmonary arterial hypertension
Exclusion criteria
Exclusion criteria: 1-refusal of the patients guardians 2- contraindication to use TEE 3-redo cardiac surgery 4-coagulation disorders 5-renal, hepatic or pulmonary disease 6-heart failure, Eisenmenger syndrome or right to left shunts and hypersensitivity of any of the studied drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| assessment of intra and post-operative systolic PAP | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Heart rate(Hr) 2. Mean arterial pressure (MAP). 3. Central venous pressure (CVP). 4. Stroke volume (SV) using TEE 5. Cardiac output (CO) using TEE. 6. Ejection fraction (EF) using TEE. 7. Fraction shortening (FS) using TEE. 8. Respiratory parameters (SPO2, PaO2 and PaCO2). 9. Vasopressors (epinephrine and norepinephrine). 10. Urine output 11. Fluid and blood requirements intra and postoperative. 12. Time to wean from mechanical ventilation. 13. Duration of ICU stay 14. Time of hospital stay | — |
Countries
Egypt
Contacts
Professor of anesthesia and surgical Intensive care