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The purpose of this study is to investigate the relationship between rewarming rate during cardiopulmonary bypass and clinical prognosis in infants undergoing cardiac surgery.
There have been many studies indicating that rewarming management plays an important role in cardiac surgery. The purpose of this study is to investigate the relationship between rewarming rate during cardiopulmonary bypass and clinical prognosis in patients undergoing cardiac surgery. Infants undergoing cardiac surgery with cardiopulmonary bypass are randomly assigned to either a slow rewarming strategy (0.24 degrees C/min) or a fast rewarming strategy (0.5 degrees C/min).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Slow rewarming strategy | Active Comparator | Slow rewarming strategy (0.24 degrees C/min) |
|
| Fast rewarming strategy | Active Comparator | Fast rewarming strategy (0.5 degrees C/min) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Slow rewarming strategy | Other | Rewarming rate:0.24 degrees C/min. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| all cause mortality | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Acute renal failure | one month | |
| Respiratory failure | one month | |
| ICU and hospital length of stay, and ICU readmissions |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chunhu Gu, MD | Contact | guchunhu@fmmu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Dinghua Yi, MD | Xijing Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xijing Hospital | Xi'an | Shannxi | 710032 | China |
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| Fast rewarming strategy |
| Other |
Rewarming rate:0.5 degrees C/min. |
|
| one month |
| Stroke and reversible ischemic neurologic deficit | one month |
| Measures of inflammation | Measures of inflammation (C-reactive protein, TNF-alpha; IL-6) and oxidative stress markers | one month |
| Biochemical markers of myocardial necrosis | Biochemical markers of myocardial necrosis(troponin and creatine kinase MB) | one month |
| Perioperative complications | Perioperative complications include sternal wound infection (deep and superficial), bacteremia, pneumonia, and major cardiovascular events (acute myocardial infarction, congestive heart failure, and cardiac arrhythmias. | one month |