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Comparisons of Myocardial Injury After Using Different Anesthetics Regimens for Off-pump Coronary Artery Bypass Surgery: Remifentanil-based Versus Sevoflurane-sufentanil Balanced Regimen
In patients undergoing off-pump coronary artery bypass (OPCAB) surgery with different anesthesia regimens: remifentanil (0.75 mcg/kg/min) and propofol (TCI effect-site concentration 0.8-1.5 mcg/ml) (Group -RP); remifentanil (0.75 mcg/kg/min) and sevoflurane (end-tidal 0.8 vol%) (Group-RS), or sevoflurane (end-tidal 1.2-2.8 vol%)-sufentanil (TCI effect site concentration 0.35-0.75 ng/ml) (Group-SS), intergroup difference in the level of Troponin I (c-TnI) and creatinine kinase subtype-MB is determined before surgery (control), during vascular graft harvesting (harvesting), after completing graft construction (postgrafting), and one day after surgery (postoperative).
Details
| Lead sponsor | Konkuk University Medical Center |
|---|---|
| Phase | NA |
| Status | COMPLETED |
| Enrolment | 120 |
| Start date | 2007-11 |
| Completion | 2014-11 |
Conditions
- Ischemic Heart Disease
Interventions
- Remifentanil
- sevoflurane 1
- sevoflurane 2
- propofol
- sufentanil
Primary outcomes
- troponin I — one day after surgery
troponin I for myocardial injury
Countries
South Korea