Coronary artery disease involve left anterior descending artery OPCAB, off-pump coronary artery bypass surgery, coronary artery disease, dexmedetomidine, tachycardia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Operation involves LAD anastomosis, ASA class II-IV, patients taking oral beta blocker within 24 hours before surgery, patients with left ventricular ejection fraction more than 35 percent
Exclusion criteria
Exclusion criteria: malignant arrhythmia, preoperative heart rate less than 50 bpm, preoperative hypotension or unstable hemodynamics, allergic to dexmedetomidine, dexmedetomidine administration within 24 hour before surgery, redo-operation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tachycardia event during LAD anastomosis mean, SD or median, IQR | — |
Secondary
| Measure | Time frame |
|---|---|
| hemodynamics preoperative, after A-line placement, after complete loading dexmedetomidine, during sternotomy, during LAD anastomosis, during wound closure, during ICU admission Mean, SD or median, IQR,beta-blocker, inotrope, vasodilator, vasopressor use preoperative, after A-line placement, after complete loading dexmedetomidine, during sternotomy, during LAD anastomosis, during wound closure, during ICU admission number, percentage,IABP use intraoperative number, percentage,amount of blood loss, IV fluid and blood component use intraoperative mean, sd or median, IQR,extubation time postoperative mean, sd or median, IQR,ICU admission time postoperative mean, sd or median, IQR,cardiac enzyme level 24 hour after surgery mean, sd or median, IQR,new onset AF, stroke, acute kidney injury, delirium 24 hour after surgery number, percentage | — |
Countries
Thailand
Contacts
ANESKKU