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

Launched by ANKARA CITY HOSPITAL BILKENT · Jan 31, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how to better manage fluid therapy in patients undergoing coronary artery bypass surgery. Specifically, researchers want to see if a technique called a “lung recruitment maneuver” can help predict how well a patient's body will respond to fluids after surgery. This is important because giving the right amount of fluids can support recovery and improve outcomes. The trial is open to patients aged 18 to 80 who are scheduled for this type of surgery and have certain health criteria, such as a stable heart function.

If you or a family member are considering participating, you can expect to be monitored closely during the surgery and have some additional tests done to help understand how your body responds to fluids. However, certain health conditions, like severe lung or heart issues, may exclude someone from joining the study. Participation is completely voluntary, and you can choose not to take part if you prefer. This trial aims to enhance care for patients like you by finding better ways to manage fluids during and after surgery.

Gender

ALL

Eligibility criteria

• * 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