Low-Flow Anesthesia and Open-Heart Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorÇağrı Özdemir

About this trial

Low-flow anesthesia (LFA) is a technique in which at least 50% of the exhaled air, after carbon dioxide absorption, is mixed with a certain amount of fresh gas and returned to the patient during the next inspiration. In 1974, R. Virtue defined minimal flow anesthesia (MFA) as 0.5 L/min. In 1984, Baker and Simionescu classified LFA as 0.5-1 L/min and MFA as 0.25-0.5 L/min. The aim of this study is to investigate whether there are hemodynamic differences between open-heart surgery cases performed with LFA at different fresh gas flow rates.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Emergency cases

Patients under 18 years of age

Patients who have had open heart surgery before

Patients for whom the use of inhaled anesthetic agents is contraindicated

Trial population

≥18 years and scheduled for open-heart surgery patients

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

80 Participants
are grouped into 4 trial groups
Group A: Group 1
Group B: Group 2
Group C: Group 3
Group D: Group 4

Trial outcomes

Primary outcomes

1

physiological parameter ; heart rate

Heart rate will be recorded every 10 minutes, expressed as beats per minute, starting before induction and including the sternotomy and pericardiotomy periods.

Time frame
Intraoperatively
2

physiological parameter; systolic/diastolic blood pressure

Systolic and diastolic blood pressure will be recorded every 10 minutes in mmHg, starting before induction and including the sternotomy and pericardiotomy periods.

Time frame
Intraoperatively
3

physiological parameter; SpO2

SpO2 will be recorded as a percentage every 10 minutes, starting before induction and including the sternotomy and pericardiotomy periods.

Time frame
Intraoperatively
4

Monitoring parameter; Bispectral Index (BIS)

The BIS value will be recorded numerically every 10 minutes, starting from before induction and including the sternotomy and pericardiotomy periods.

Time frame
Intraoperatively

Secondary outcomes

1

Preoperative data; ASA (American Society of Anesthesiologists) classification

During the preoperative period, preoperative data, including the American Society of Anesthesiologists (ASA) Physical Status Classification, will be recorded. The ASA classification is used to assess the patient's preoperative physical status and perioperative risk, with higher ASA classes (I-IV) indicating increased systemic disease severity and perioperative risk.

Time frame
24 hours before surgery
2

Preoperative data

In the preoperative period, the degree of valve dysfunction (such as I.degree TY, II.degree MY) of the patients will be recorded.

Time frame
24 hours before surgery
3

Preoperaitive data

In the preoperative period, the patient's ejection fraction will be recorded as a percentage.

Time frame
24 hours before surgery

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Çağrı Özdemir

Lead sponsor

Gazi University

Sponsor institution