Evaluation of Fluid Responsiveness With Recruitment Maneuver After Sternotomy in Coronary Artery Bypass Surgery
Ankara City Hospital Bilkent
45 participants
Jun 1, 2023
OBSERVATIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria1
- -ASA2-3 patients between the ages of 18-80 who will undergo elective coronary bypass surgery under general anesthesia
Exclusion Criteria13
- \. Be younger than 18 years old, be over 80 years old
- \. Patients with an ASA score greater than 3
- \. EF<40%
- \. Those with contraindications to anesthetic drugs
- \. Patients with BMI>30
- \. Patients who did not want to participate in the study
- \. Right ventricular dysfunction
- \. COPD(Chronic obstructive pulmonary disease)
- \. Bullous lung disease
- \. Moderate to severe PHT
- \. Severe kidney or liver disease
- \. Patients with hemodynamic instability in the perioperative period
- \. Pregnancy
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Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06249568