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| ID | Type | Description | Link |
|---|---|---|---|
| Grant 4347.07.2006 | Other Identifier | HelseNord |
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| Name | Class |
|---|---|
| University of Tromso | OTHER |
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The aim of the present study was to evaluate the usefulness of an algorithm based on hemodynamic parameters obtained by single transpulmonary thermodilution (STD) combined with continuous monitoring of central venous oxygen saturation (ScvO2) for perioperative management of patients undergoing OPCAB.
At the present time, there is an increasing tendency to perform off-pump coronary artery bypass grafting (OPCAB). However, OPCAB poses a variety of challenges from the point of view of the anesthesiologist and the intensivist. The aim of the present study was to evaluate the usefulness of an algorithm based on hemodynamic parameters obtained by single transpulmonary thermodilution (STD) combined with continuous monitoring of central venous oxygen saturation (ScvO2) for perioperative management of patients undergoing OPCAB.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional monitoring | Active Comparator | hemodynamic monitoring - conventional monitoring |
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| Advanced monitoring | Active Comparator | hemodynamic monitoring - advanced monitoring |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional monitoring | Device | In the CM group, therapy was guided by central venous pressure, mean arterial pressure (MAP) and heart rate (HR) |
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| Measure | Description | Time Frame |
|---|---|---|
| length of hospital stay | Length of the hospital stays, Days | one month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mikhail Y Kirov | Northern SMU | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dep. of Anesthesiology, Northern SMU | Arkhangelsk | 163000 | Russia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19183113 | Result | Smetkin AA, Kirov MY, Kuzkov VV, Lenkin AI, Eremeev AV, Slastilin VY, Borodin VV, Bjertnaes LJ. Single transpulmonary thermodilution and continuous monitoring of central venous oxygen saturation during off-pump coronary surgery. Acta Anaesthesiol Scand. 2009 Apr;53(4):505-14. doi: 10.1111/j.1399-6576.2008.01855.x. Epub 2009 Jan 15. |
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| Advanced monitoring | Device | In the AM group by the intrathoracic blood volume index, MAP, HR, central venous oxygen saturation (ScvO2) and cardiac index (CI). The measurements were performed before and during surgery, and at 2, 4 and 6 hrs post-operatively. |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
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