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No inclusions since 2018.
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Coronary artery bypass grafting is a current cardiac surgery. Internal thoracic artery is usually taking to restore coronary revascularization, and its dissection can lead to accidental or voluntary pleural effusions. Respiratory complications are frequent, due to the drainage required. In this study, the investigators propose one-lung ventilation to facilitate artery grafting and surgical procedure. The investigators will include all adult patients with elective coronary artery bypass surgery (CABG) by internal thoracic artery, in a prospective, controlled, randomized and monocentric study. The main objective is to demonstrate that one-lung ventilation using EZ-Blocker can reduce pleural effusion defined by presence of drainage and/or pneumothorax on X-ray chest in the ICU.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard group | No Intervention | bi lung ventilation usual practice | |
| EZ-Blocker group | Experimental | one lung ventilation 'EZ-Blocker' |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EZ-Blocker | Device | the Blocker group, the EZ-Blocker will be set up after anesthesia induction and standard orotracheal intubation to allow lung exclusion during homolateral internal thoracic artery sampling, and thus a one-lung ventilation. This material will be removed at the end of surgical surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Pleural effusions after coronary artery bypass graft surgery | quantifying the number of thoracic drains (0, 1 or 2), as accidental or voluntary pleural effusion | Day 0 |
| absence of pneumothorax | verify the absence of pneumothorax to X-ray chest ( not drained pleural effusion). | Day 0 |
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mathieu GUILBART, PhD | CHU Amiens | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Amiens | Amiens | 800504 | France |
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| ID | Term |
|---|---|
| D010996 | Pleural Effusion |
| ID | Term |
|---|---|
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |
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