Difference Between Central and Peripheral Arterial Blood Oxygen Saturation With Different CPB Strategy
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Purpose
Femoro-femoral cardiopulmonary bypass with retrograde perfusion is needed for totally thoracoscopic cardiac surgery. one of the major complication of retrograde perfusion is organ hypoperfusion.
Arterial blood gas analysis can help to detect hypoperfusion or hypoxia during retrograde perfusion. However,whether the arterial oxygenation status from different parts of the body are the same in the condition of retrograde perfusion have not been studied.
The present study is aimed to determine if there is difference in the arterial oxygenation between peripheral arterial and aortic root during the period of retrograde perfusion.In addition, the impact of artificial ventilation on the difference of arterial oxygenation will also be investigated.
| Condition |
|---|
|
Bypass Complications Disorder of Blood Gas |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | The Difference Between Central and Peripheral Arterial Blood Oxygen Saturation in Patients Undergoing Cardiac Surgery With Different Cardiopulmonary Bypass Strategy |
- The difference between peripheral arterial oxygenation and aortic root blood oxygenation [ Time Frame: patients will be followed up during the cardiopulmonary bypass. Blood samples will be collected at 3 timepoints which is specified in the DESCRIPTION ] [ Designated as safety issue: Yes ]The three time points for blood sample collection are:1.right before clamping the aorta; 2.Three minutes after **** without ventilation;3.5 min after re-initiate mechanical ventilation.
| Estimated Enrollment: | 60 |
| Study Start Date: | October 2012 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
All patients included will be assigned into two different groups according to the surgical approach,one group is named "NP" with normal perfusion,and the other is named "RP" with retrograde perfusion.
For all the patients,we will obtain 0.5ml blood from both peripheral arterial and aortic root for blood gas analysis at some specific time points.
We will focus on the differences of arterial oxygenation between peripheral arterial and aortic root at each group.At the same time,we will analyse the impact of artificial ventilation on it.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
patient undergoing totally thoracoscopic cardiac surgery with cardiopulmonary bypass
Inclusion Criteria:
- age > 18 years old
- undergoing totally thoracoscopic cardiac surgery with cardiopulmonary bypass
Exclusion Criteria:
- without informed consent
- pregnancy
Contacts and Locations| Contact: Min Chen, M.D. | 86-13991221157 | chenminh@yahoo.com.cn |
| Contact: Jing Zhao, M.D. | 86-13892810471 | zhaojing939699@126.com |
| China, Shaanxi | |
| Department of Anesthesiology, Xijing Hospital | Not yet recruiting |
| Xi'an, Shaanxi, China, 710032 | |
| Contact: Min Chen, M.D. 86-13991221157 chenminh@yahoo.com.cn | |
| Contact: Jing Zhao, M.D. 86-13892810471 zhaojing939699@126.com | |
| Principal Investigator: Hailong Dong, M.D., PhD. | |
| Study Chair: | Hailong Dong, Doctor | department director |
More Information
No publications provided
| Responsible Party: | Xijing Hospital |
| ClinicalTrials.gov Identifier: | NCT01698853 History of Changes |
| Other Study ID Numbers: | 192837 |
| Study First Received: | September 25, 2012 |
| Last Updated: | September 29, 2012 |
| Health Authority: | China: Ethics Committee |
ClinicalTrials.gov processed this record on May 23, 2013