Evaluation of the Microcirculation During the Corrective Surgery of Congenital Heart Defects in Children

National Institute of Cardiology, Laranjeiras, Brazil

Status

Completed

Conditions

Congenital Heart Disease

Study type

Observational

Funder types

Other

Identifiers

NCT03144258

CAAE 19201413.6.0000.5272

Details and patient eligibility

About

General objective of the research project: To evaluate the alterations of systemic microvascular reactivity during cardiopulmonary bypass (CPB), in children submitted to cardiac surgery for repair of congenital heart defects.

Full description

• Specific objectives:

To test the usefulness of skin laser Doppler flowmetry monitoring (LDPM) in the non-invasive evaluation of endothelium-dependent microvascular reactivity during CPB in children.
To investigate whether skin LDPM could be proposed as a clinical monitoring of tissue perfusion during CPB in pediatric cardiac surgery.
To investigate the effects of different anesthetic agents on microvascular reactivity during CPB.
To investigate the effects of cardiovascular and vasoactive drugs used during CPB on microvascular reactivity.
To evaluate the correlation of microcirculatory alterations observed during CPB with classical markers of tissue perfusion and oxygenation, including plasma lactate levels.
To evaluate the correlation of microcirculatory alterations observed during CPB with markers of systemic inflammation, including pro- and anti-inflammatory cytokines.
To evaluate the correlation of microcirculatory alterations observed during CPB with the plasma bioavailability of nitric oxide.

Enrollment

100 patients

Sex

All

Ages

3 months to 6 years old

Volunteers

No Healthy Volunteers

Inclusion criteria