Aamir Furqan, Sohail Ahmad, Liaqat Ali, Rahat Akhtar, Mirza Ahmad Raza Baig, Rana Altaf.
Comparison of Effects of Propofol and Isosorbide Dinitrate during Rewarming on Cardiopulmonary Bypass..
Pak J Med Sci Jan ;32(4):806-10.

OBJECTIVES: Comparison of effects of propofol and isosorbide dinitrate during rewarming on cardiopulmonary bypass in patients undergoing coronary artery bypasses grafting. METHODS: It was randomized prospective clinical trial. One hundred and twenty patient (120) undergoing CABG surgery were included in this study. Group-I (Study group, n=60): in which only propofol infusion used during rewarming and Group-II (control Group, n=60) in which isosorbide dinitrate and propofol infusion combination was used during rewarming. The data was entered and analyzed through SPSS Version 19. Independent sample T-test and chi-square test were used for data analysis. P value of <= 0.05 was taken as significant. RESULTS: Mean arterial pressures during rewarming were 63.41+/-3.61 mmHg in propofol group versus 60.80+/-4.86 mmHg in control group (p-value 0.001). Core temperature on weaning from cardiopulmonary bypass was 37.11+/-0.49 degrees C in propofol group and 37.00+/-0.18 degrees C in control group. After drop in core temperature was little more in propofol group (1.02+/-0.36 degrees C) versus 0.96+/-0.37 degrees C in control group but this difference was not statistically significant (p-value 0.41). Mean Ventilation time after surgery in propofol group was 4.65+/-0.65 hours versus 5.03+/-0.81 hours in control group (p-value 0.006). CONCLUSION: Propofol alone is capable of fulfilling the requirements of adequate rewarming during Cardiopulmonary bypass and can produce more hemodynamic stability and early post-operative recovery.

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