Evaluation of Fluid Responsiveness With Recruitment Maneuver After Sternotomy in Coronary Artery Bypass Surgery

NCT ID: NCT06249568

Last Updated: 2024-07-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

45 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-01

Study Completion Date

2024-08-20

Brief Summary

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Assuming that the basic reliability of dynamic indices will increase with the application of functional hemodynamic tests after sternotomy and protective lung ventilation in patients undergoing elective coronary artery bypass surgery, it is useful to predict fluid responsiveness after sternotomy in coronary artery bypass surgery patients ventilated with 6 ml/kg PBW (ideal body weight). We aimed to reveal the sensitivity and specificity of PPV and SVV changes by applying a lung opening maneuver.

Detailed Description

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In order to evaluate the fluid deficit in patients undergoing coronary artery bypass surgery, researchers will measure stroke volume index, cardiac index and mean arterial pressure while the patients are in the lima position.

Then researchers will perform a lung opening maneuver (30mmHg for 30 seconds) and measure again.

researchers will measure again after the values return to normal. researchers will give patients balanced fluid at 3ml/kg and record their values.

Can researchers predict fluid response with lung opening maneuver?

Conditions

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Fluid Therapy Coronary Artery Bypass Surgery Patients Lung Recruitment Maneuver

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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patients who will have coroner arter bypass surgeon

Patients undergoing coronary artery bypass surgery will be eliminated if there are exclusion criteria. Patients who do not have exclusion criteria will be included in the study if they agree to volunteer.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* 1-ASA2-3 patients between the ages of 18-80 who will undergo elective coronary bypass surgery under general anesthesia

Exclusion Criteria

* 1\. Be younger than 18 years old, be over 80 years old
* 2\. Patients with an ASA score greater than 3
* 3\. EF\<40%
* 4\. Those with contraindications to anesthetic drugs
* 5\. Patients with BMI\>30
* 6\. Patients who did not want to participate in the study
* 7\. Right ventricular dysfunction
* 8\. COPD(Chronic obstructive pulmonary disease)
* 9\. Bullous lung disease
* 10\. Moderate to severe PHT
* 11\. Severe kidney or liver disease
* 12\. Patients with hemodynamic instability in the perioperative period
* 13\. Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ankara City Hospital Bilkent

OTHER

Sponsor Role lead

Responsible Party

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Meltem Sakman Yılmaz

assistant doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ankara Bilkent Şehir Hastanesi

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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meltem sakman yılmaz

Role: CONTACT

+90 505 922 1049

Facility Contacts

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ümit karadeniz

Role: primary

+905326025264

Other Identifiers

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E2-23-3460

Identifier Type: -

Identifier Source: org_study_id

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