Dopamine is frequently used as an inotropic drug to elevate cardiac output. In addition to the beneficial cardiac effect of this drug, the few previous studies addressing its ability to alter the airway tone reported controversial results. Thus, the investigators aimed at clarifying the potential of dopamine to alter gas exchange outcomes and the airway tone in patients undergoing cardiac surgeries with cardiopulmonary bypass. Blood gas parameters, airway resistance, tissue damping and tissue elastance will be measured in the patients before the CPB, immediately after CPB, and 5 min after administration of dopamine (3 mcg/kg/min). The importance of the research is to reveal whether the beneficial mechanical changes after dopamine administrations are associated with improvements in gas exchange outcomes. Clarification of this research question have scientific relevance and may also improves patient outcomes.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
100
Administration of dopamine (3 mcg/kg/min) as part of cardiac support therapy after the cardiopulmonary bypass. Administration of dopamine is a subject of clinical decision based on the cardiovascular status of the patients.
Barna Babik
Szeged, Hungary
Arterial oxygen partial pressure (PaO2)
Partial pressure of oxygen in the blood sample assessed by a blood gas analyser.
Time frame: 5 min after administration of dopamine
Arterial carbon dioxide partial pressure (PaCO2)
Partial pressure of carbon dioxide in the blood sample assessed by a blood gas analyser.
Time frame: 5 min after administration of dopamine
Lung mechanics
Airway resistance, lung tissue damping and lung tissue elastance obtained by forced oscillation technique.
Time frame: 5 min after administration of dopamine
Capnography
Time capnography to obtain phase 3 and phase 2 slopes.
Time frame: 5 min after administration of dopamine
Intrapulmonary shunt
Intrapulmonary shunt obtained by the Berggren shunt equation from arterial and central venous blood samples.
Time frame: 5 min after administration of dopamine
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.