Status:

UNKNOWN

A Comparison of Two Anaesthetic Methods of Protecting Heart Tissue During Cardiac Surgery

Lead Sponsor:

Golden Jubilee National Hospital

Collaborating Sponsors:

European Society for Intravenous Anaesthesia

Conditions:

Coronary Artery Bypass Surgery

Eligibility:

All Genders

40-80 years

Phase:

PHASE4

Brief Summary

To compare two different methods of protecting heart muscle from damage caused by a decreased blood supply. Exposure to the anaesthetic agent sevoflurane can allow the heart muscle to resist longer pe...

Detailed Description

Coronary artery bypass grafting (CABG) is a common procedure performed to improve blood flow to the heart in patients with severe ischaemic heart disease. Commonly, the heart has to be stopped to allo...

Eligibility Criteria

Inclusion

  • Patients presenting for elective CABG operations, with \>40 % left ventricular ejection fraction, aged 40-80.

Exclusion

  • Patients at risk of epidural haematomas (i.e. platelets \<100, coagulopathies, on anticoagulant therapies, INR\>1.4) or unsuited to HTEA (patient refusal, spinal deformities).
  • Patients on drugs shown to manipulate the preconditioning phenomenon will also be excluded. This includes those on diazoxide, nicorandil, oral sulfonylureas and theophyllines.
  • Patients with preoperative ECG morphologies likely to make interpretation difficult or impossible including: left bundle branch block, cardiac pacemaker dependence.
  • Haemodynamically compromised patients requiring inotropic or balloon pump support preoperatively.
  • Significant valvular disease. Preoperative elevated levels of troponin I or CKMB. Unstable angina or angina in 24 hours preop

Key Trial Info

Start Date :

January 1 2006

Trial Type :

INTERVENTIONAL

End Date :

January 1 2008

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT00244283

Start Date

January 1 2006

End Date

January 1 2008

Last Update

October 26 2005

Active Locations (1)

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1

Golden Jubilee National Hospital

Glasgow, United Kingdom, G81 4HX