Coronary Artery Disease With Need for Bypass SurgeryCoronary Artery Disease(CAD)Coronary Artery BypassOff Pump Coronary Artery Bypass GraftOff Pump Coronary Artery Bypass SurgeryHemodynamic ManagementHemodynamic OptimizationNoradrenaline
Investigational drug(s) / intervention(s)
passive leg raising for hemodynamic management during open-heart coronary bypass graftingUse of Noradrenaline only in control group
passive leg raising for hemodynamic management during open-heart coronary bypass grafting: Passive leg raising will be used in the experimental group in order to manage hemodynamics: legs will be raised to an angle of approx. 45°
Use of Noradrenaline only in control group: Noradrenaline will be used for hemodynamic management. Passive leg raising will not be used in this group
Study summary
This interventional prospective randomized study is designed to compare hemodynamic management using postural mobilization (+/- noradrenaline) versus noradrenaline only in patients undergoing open-heart coronary artery bypass graft (CABG) surgery.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Adult patient
* patient requiring isolated coronary bypass surgery
* Elective procedure or medical emergency
* First cardiac surgery
* Patient with an EF ≥30%
* Mandatory affiliation to a social security system
* Signed informed consent form
* Suspension of renin-angiotensin system inhibitors and angiontensn-neprilysin receptor blockers and sartans the day before surgical procedure
Exclusion Criteria:
* Contraindication to an inotropic substance (only NA will be used)
* Contraindication to passive leg raising
* Patient in a life-threatening emergency
* History of cardiac surgery
* Bilateral iliac or common femoral artery occlusion
* EF \< 30%
* Pregnancy and breastfeeding
* Renal failure (GFR \< 40 ml/min/1.73 m²)
* Patient with bilateral thigh amputation
* Class III obesity BMI \> 40 kg/m²
Primary outcome measure(s)
Assess use of noradrenaline in the experimental group (postural mobilization) vs control group (NA only) for hemodynamic management during open-heart coronary bypass graft surgery. — From beginning to end of urgery
Trial sites (1)
Facility
City
Region
Status
Infirmerie Protestante de Lyon
Caluire-et-Cuire
Auvergne-Rhône-Alpes
Recruiting
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.