Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: adult patients of either sex, age >18 years old who will be scheduled for elective or urgent CABG surgery .
Exclusion criteria
Exclusion criteria: patient’s refusal, preoperative right sided heart failure, significant liver diseases, uncontrolled diabetes and/ or hypertention, preoperative renal diseases (serum creatinine ? 1.5 mg/dl), redo surgeries, and patients with significant acute or chronic upper limb ischemia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| serum alanine transaminase (ALT) .. | — |
Secondary
| Measure | Time frame |
|---|---|
| serum levels of AST, GGt, total and direct bilirubin, albumin and prothrombine concentration, aortic cross clamp time, bypass time, UOP, fluid balance at the end of CPB and at 24 postoperative hour, bleeding, transfusion( RBCs, FFP, platelets ),incidence of intraoperative hypotension, need for DC shocks, pacing, number of grafts, the amount of consumed inotropes and ,vasoactive drugs (vasopressors and dilators), Serum MDA, IL1, TNFa and IL10 will be measured at the following times; before RIPC, after RIPC, at 6,12,24,48, and 72 hours after the end of ischemic cardioplegic arrest and duration of mechanical ventilation and length of ICU stay. | — |
Countries
Egypt
Contacts
assistant lecturer of anesthesia and surgical intensive care