About this trial
In this prospective, observational study, we aim to investigate whether routinely monitored Perfusion Index (PI) and cerebral oxygen saturation (NIRS) values in pediatric patients aged 0-6 undergoing congenital heart surgery are associated with Low Cardiac Output Syndrome. Pediatric patients aged 0-6 years undergoing congenital heart surgery will be followed primarily for Cerebral Near-Infrared Reflectance Spectroscopy, and Perfusion Index (PI) values both in the operating room during the operation, and in the Pediatric Cardiac Intensive Care Unit during the first 24 hours postoperatively. The patients with Low Cardiac Output Syndrome will be recorded, and the changes in Cerebral Near-Infrared Reflectance Spectroscopy, and Perfusion Index (PI) values will be evaluated to determine whether they can predict low cardiac output.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged 0-6 years who undergo congenital heart surgery and develop low cardiac output syndrome
Disqualifiers
Patients older than 6 years
Premature infants
Patients who were operated on at external institutions and later transferred to our facility
Patients with low cardiac output syndrome not related to the postoperative period
Trial population
Patients aged 0-6 years who undergo congenital heart surgery and develop low cardiac output syndrome
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
PI in low cardiac output
Perfusion Index (PI) trends in pediatric cardiac surgery cases with low cardiac output
Serebral NIRS in low cardiac output
Serebral NIRS in trends in pediatric cardiac surgery cases with low cardiac output
Secondary outcomes
Inotropic requirements
Inotropic requirements in pediatric cardiac surgery cases with low cardiac output
Need for dialysis
Need for dialysis in pediatric cardiac surgery cases with low cardiac output
Need for ECMO (extracorporeal membrane oxygenation)
Need for ECMO in pediatric cardiac surgery cases with low cardiac output
Need for reoperation
Need for reoperation in pediatric cardiac surgery cases with low cardiac output
Locations
Sponsors and contacts
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Bozyaka Training and Research Hospital
Lead sponsor
Basaksehir Cam & Sakura City Hospital
Collaborator
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