Impact of Variable Types of Preconditioning Upon Inotropic Score in Adult Patients Undergoing Cardiac Valve Replacement Surgery: A Randomized Clinical Trial | ||||
| The Medical Journal of Cairo University | ||||
| Article 30, Volume 86, September, September 2018, Page 2361-2365 PDF (452.11 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2018.57558 | ||||
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| Authors | ||||
| MAHMOUD ABD EL-AZEZ, M.D.; EMAD Z. KAMEL, M.D.; MOHAMED MAHMOUD, M.D.; SALMA I. AHMED, M.Sc. | ||||
| The Departments of Anesthesiology, Intensive Care & Pain Management* and Cardiothorathic Surgery**, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
| Abstract | ||||
| Abstract Background: The objective of this study was to validate the impact of cardiac preconditioning (ischemic versus phar-macological) upon postoperative inotropic score in adult patient undergoing open heart surgery. Aim of Work: Is to validate the impact of Sevoflurane versus ischemic & Sevoflurane pc upon postoperative inotropic score in adult patient undergoing open heart surgery. Material and Methods: Thirty ASA II-IIIadult undergoing open heart surgery wereincluded in the study. They were randomly allocated into2 groups, Group A (15 patients). Anaesthetized by Sevoflurane as a pharmacologic precondi-tioner, Group B (15 patient) ischemic preconditioning was done after induction and before cardiopulmonary bypass by inflation the cuff of blood pressure above 200mmhg in the lower limb every 5min for 3 cycles. Results: Non significant difference between the two groups regarding to the inptropic score and icu stay. Conclusion: Both ischemic and pharmacological cardiac preconditioning could offer some sort of cardiac protection reflected upon inotropic score. | ||||
| Keywords | ||||
| Preconditioning – Cardiac surgery – Inotropic score | ||||
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