Oxygen Delivery During Cardiopulmonary Bypass And Inflammatory Reaction After Cardiac Surgery
NCT06993467 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 908
Last updated 2025-05-28
Summary
Cardiac surgery, especially when involving cardiopulmonary bypass (CPB), has long been associated with a systemic inflammatory response that can lead to a range of complications, from mild symptoms to severe organ dysfunction, and mortality. The exact mechanisms behind this response remain a topic of extensive research, but it's clear that the body's reaction to the extracorporeal circulation, combined with surgical trauma, plays a significant role. Factors such as genomics, age, specific preoperative conditions, and the duration of operations have been associated with significant clinical responses.
A pivotal insight into this response comes from recent genome-wide transcriptional analyses. Perioperative ischemia and ischemia-reperfusion injury (IRI) have been suggested as hub-nodes in a hierarchic structure evaluating the response to cardiac surgery. This suggests that IRI isn't just a side effect of the surgery but might be a central player in the body's inflammatory response. The role of perioperative ischemia and its potential as a significant contributor to the postoperative inflammatory response cannot be understated. This study aims to delve deeper into the role of oxygen delivery and its implications in the systemic inflammatory response post- cardiac surgery.
Conditions
- Cardiopulmonary Bypass
- Cardiac Surgery
- Systemic Inflammatory Response Syndrome (SIRS)
Sponsors & Collaborators
-
Azienda Ospedaliero, Universitaria Ospedali Riuniti
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-10-30
- Primary Completion
- 2024-12-31
- Completion
- 2025-01-31
Countries
- Italy
Study Locations
More Related Trials
-
Inflammatory Response and Oxidative Stress in Cardiac Surgery: Min. Invasive vs. Conventional Extracorporeal Circulation
NCT06477757 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Extracardiac Complications After Cardiac Surgery
NCT01187004 ·Status: COMPLETED
-
Transpulmonary Gradient After Cardiac Surgery Under Cardiopulmonary Bypass
NCT01723930 ·Status: UNKNOWN
-
Inflammatory Genetic Polymorphism and Acute Lung Injury After Cardiac Surgery
NCT00826072 ·Status: COMPLETED
-
Inflammation and Postoperative Atrial Fibrillation in Cardiac Surgery
NCT06475547 ·Status: RECRUITING
-
Neuroinflammation/Oxidative Stress/Cardiac Surgery
NCT06391866 ·Status: RECRUITING
-
Insulin Sensitivity, Irisin and Adipokines as Outcome Parameters in Patients Undergoing Cardiac Surgery
NCT02258698 ·Status: COMPLETED
-
Evaluation of Peri-operative Risk Factors for Surgery Site Infection in Cardiac Surgery
NCT02392936 ·Status: UNKNOWN
-
The Impact of Obesity on Postoperative Outcomes Following Cardiac Surgery
NCT03248921 ·Status: ACTIVE_NOT_RECRUITING
-
Acute Lung Injury After Aortic Valve Surgery
NCT01184313 ·Status: UNKNOWN
-
Acute Lung Injury After Cardiac Surgery: Pathogenesis
NCT02475694 ·Status: COMPLETED
-
The Role and Dynamics of Liver Dysfunction in Patients Undergoing Cardiac Surgery
NCT02893657 ·Status: UNKNOWN
-
Inflammatory Biomarkers Predict Pulmonary Outcomes in Coronary Artery Bypass Grafting
NCT01366469 ·Status: COMPLETED
-
Effects of Personality and Context on Recovery From Coronary Artery Bypass
NCT00005334 ·Status: COMPLETED
-
Dynamics of Immune Map and Outcomes After On-pump Cardiac Surgery: Protocol for a Prospective Cohort Study
NCT05400356 ·Status: UNKNOWN
-
BRS and Outcomes in Cardiothoracic Surgery
NCT03243279 ·Status: COMPLETED
-
Role of Type 2 Diabetes in Potentiating the Inflammatory Response Post Extracorporeal Circulation After Cardiac Surgery
NCT04432337 ·Status: WITHDRAWN ·Phase: NA
-
Immunophenotyping of Patients With Postoperative SIRS
NCT02957175 ·Status: UNKNOWN
-
Relation Between Insulinoresistance and Neutrophile to Lymphocyte Ratio in Cardiac Surgery.
NCT06945536 ·Status: COMPLETED
-
Myocardial and Renal Dysfunction by Oxidative Stress Caused by Cardiac Surgery
NCT02394405 ·Status: TERMINATED
-
Assessment of Functional Capacity and Inflammatory Markers in Women With Heart Failure With Preserved Ejection Fraction
NCT02649400 ·Status: UNKNOWN
-
Validation of Hematological Indices
NCT06476171 ·Status: RECRUITING ·Phase: NA
-
Perioperative Endothelial Dysfunction
NCT02344771 ·Status: COMPLETED
-
Blood Transfusions in Coronary Artery Bypass Surgery
NCT02953951 ·Status: COMPLETED
-
Diaphragmatic Dysfunction and Cardiac Surgery; Perioperative Assessment and Effect on Outcome
NCT03126838 ·Status: UNKNOWN