Preconditioning with repeated hyperbaric oxygen induces myocardial and cerebral protection in patients undergoing coronary artery bypass graft surgery: a prospective, randomized, controlled clinical trial | Canada Hyperbarics
RCT J Cardiothorac Vasc Anesth 2011

Preconditioning with repeated hyperbaric oxygen induces myocardial and cerebral protection in patients undergoing coronary artery bypass graft surgery: a prospective, randomized, controlled clinical trial

Li Y, Dong H, Chen M, Liu J, Yang L, Chen S, et al. — J Cardiothorac Vasc Anesth, 2011

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers conducted a prospective, randomized, single-blinded clinical trial to evaluate if hyperbaric oxygen preconditioning could protect the brain and heart in patients undergoing coronary artery bypass graft surgery.

What They Found

Among 49 patients, those undergoing on-pump surgery who received hyperbaric oxygen preconditioning showed significant decreases in perioperative serum levels of S100B protein, neuron-specific enolase, and troponin I compared to the on-pump control group. This group also experienced a reduced length of intensive care unit stay and decreased use of inotropic drugs post-surgery, while no differences were observed in off-pump groups.

What This Means for Canadian Patients

Canadian patients undergoing on-pump coronary artery bypass graft surgery might potentially benefit from hyperbaric oxygen preconditioning to reduce brain and heart injury markers and shorten intensive care unit stays. However, this treatment may not offer similar benefits for those undergoing off-pump procedures.

Canadian Relevance

This study was not conducted in Canada and therefore has no direct Canadian connection.

Study Limitations

The study was limited by its relatively small sample size of 49 patients and being single-blinded, which could impact generalizability.

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Study Details

Study Type RCT
Category Cardiac
Source Pubmed
PubMed ID 21868252
Year Published 2011
Journal J Cardiothorac Vasc Anesth
MeSH Terms Aged; Biomarkers; Cardiotonic Agents; Catalase; Cerebrovascular Disorders; Coronary Artery Bypass; Coronary Artery Bypass, Off-Pump; Critical Care; Endpoint Determination; Female; Hemodynamics; Humans; Hyperbaric Oxygenation; Ischemic Preconditioning, Myocardial; Length of Stay; Male; Middle Aged; Nerve Growth Factors; Phosphopyruvate Hydratase; Prospective Studies; Respiration, Artificial; S100 Calcium Binding Protein beta Subunit; S100 Proteins; Sample Size; Troponin I

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.