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| Name | Class |
|---|---|
| Regional hospital of Arkhangelsk | UNKNOWN |
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The risk of respiratory failure after cardiac surgery is high, and it may result in many complications. The maneuver of alveolar recruitment may improve the oxygen transport in the human organism. The investigators compare three different types of alveolar recruitment in patient after cardiac surgery, to reveal which one is better.
The study compares three different approaches to alveolar recruitment maneuvers in the immediate postoperative period after off-pump coronary bypass grafting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recruitment 40x40 | Active Comparator | The group where recruitment is performed by increase in airway pressure up to 40 cm H2O for 40 seconds |
|
| Recruitment PEAK40 | Active Comparator | Increase in peak airway pressure up to 40 cm H2O during tidal ventilation |
|
| Recruitment 15x300 | Active Comparator | Recruitment by increase in airway PEEP up to 15 cm H2O for 300 sec |
|
| No recruitment | Active Comparator | No recruitment is performed: standard respiratory support. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alveolar recruitment | Procedure | Four approaches:
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory support | The duration of the postoperative respiratory support | 24 hrs |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of postoperative atelectasis | Incidence of atelectases during 24 hrs | 24 hrs |
| Incidence of reintubation | 24 Hrs | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mikhail Y. Kirov, MD, PhD | Northern State Medical University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City hospital # 1 | Arkhangelsk | Arkhangelskaya oblast | 163000 | Russia |
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| ID | Term |
|---|---|
| D000860 | Hypoxia |
| ID | Term |
|---|---|
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| Oxygenation |
Changes in PaO2/FiO2 ratio |
| 12 hrs after extubation |
| Length of ICU and hospital stay | Length of ICU and hospital stay | 28 Days |