The main purpose of this study is to compare myocardial injury of patients undergoing congenital cardiac defects repair surgery (RACHS Risk Score one, two or three) under total intravenous anesthesia compared to inhalation anesthesia with sevoflurane. The primary aim of the study is to evaluate the troponin I levels in patients following congenital heart surgery and elucidate if one of the two anesthetic techniques (TIVA x inhalation anesthesia) is more effective in reducing troponin I levels in the first 72h after surgery.. Sixty six are planned to be included in the study and the follow-up will take approximately 3 days for the primary outcome. As a secondary outcome evaluate the BNP, CPK and CKMB postoperative levels in the same period (72h), also ICU and hospital lengh of stay (LOS), duration of mechanical ventilation, inotropic/vasoactive drugs use and incidence of renal injury (according to pediatric RIFLE score).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
66
Use of sevoflurane (compared to total intravenous anesthesia) in congenital heart deffects surgeries.
Total intravenous anesthesia
Incor - Heart Institute - University of Sao Paulo
São Paulo, Brazil
RECRUITINGSerum levels curve of troponin I
Dosage of serum troponin I during the first 72 hours after surgery
Time frame: T0: induction anesthesia; T1: ICU admission; T2: 24 hours after surgery; T3: 48 hours after surgery; T4: 72 hours after surgery
Serum levels curve of CKMB, CPK and BNP
Dosage of serum CKMB, CPK and BNP during the first 72 hours after surgery
Time frame: T0: induction anesthesia; T1: ICU admission; T2: 24 hours after surgery; T3: 48 hours after surgery; T4: 72 hours after surgery
Acute kidney injury
According to pediatric RIFLE
Time frame: within 30 days after cardiac surgery
Cardiac complications
Arrhythmia, low cardiac output syndrome
Time frame: within 30 days after cardiac surgery
Blood transfusion
Time frame: within 30 days after cardiac surgery
Length of vasoactive drugs
Time frame: within 30 days after cardiac surgery
Duration of Mechanical ventilation
Time frame: within 30 days after cardiac surgery
Length of ICU stay
Time frame: within 30 days after cardiac surgery
Length of hospital stay
Time frame: within 30 days after cardiac surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.