Blood Pressure Clinical Trial
Official title:
The Role of Hydrocortisone Per-treatment in Decreasing Side Effects of Protamine Sulfate During Cardiac Surgeries, a Randomized Control Trial.
This study aims to compare the hemodynamic parameters within and between patients who received Protamine Sulfate (PS) with Hydrocortisone (HC) vs. Protamine Sulfate alone during cardiac surgeries.
the investigators hypothesized that patients received PS along with HC would have different
results in intraoperative hemodynamic changes of the blood pressure - both Systolic Blood
Pressure (SBP), Diastolic Blood Pressure (DBP) and Mean Arterial Pressure (MAP) reading.
Differences would also be expected for Heart rate (HR), Airway pressure and the usage of
Adrenaline, Noradrenaline and Dobutamine.
Patients who had cardiac surgery using cardiopulmonary bypass were screened and enrolled from
4/7/2019 to 30/4/2020. Inclusion criteria for patients were normal preoperative hemoglobin
level, normal preoperative platelet count, no known defect of the coagulation system, and
patients with unimpaired renal function (creatinine clearance < 30 ml/kg/min). The patients
were excluded if they were younger than 18 years, patients with known defect of the
coagulation system, renal impairment, previous vasectomy, allergy to fish or unable to give
consent form.
The study carried out as a parallel-group, randomized, controlled trial with a 1:1 allocation
ratio. Patients were screened for eligibility in the wards before being invited to
participate in the research. After the invitation, the study was explained to patients. Those
who agreed to participate in the study were asked to sign the consent form.
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