Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery

Objective: To evaluate the variation (increase or decrease) in Electrolytes level after del-nido cardioplegia administration in patients undergoing on pump congenital heart defect surgery. Study Design: The design used in this study was descriptive cross-sectional. Place and Duration of Study...

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Main Authors: Mah Noor, Muhammad Imran Asghar, Muhammad Shoaib Umer, Naseem Azad, Hafsa Khalil, Zara Chachar
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2022-11-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://pafmj.org/index.php/PAFMJ/article/view/9568
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author Mah Noor
Muhammad Imran Asghar
Muhammad Shoaib Umer
Naseem Azad
Hafsa Khalil
Zara Chachar
author_facet Mah Noor
Muhammad Imran Asghar
Muhammad Shoaib Umer
Naseem Azad
Hafsa Khalil
Zara Chachar
author_sort Mah Noor
collection DOAJ
description Objective: To evaluate the variation (increase or decrease) in Electrolytes level after del-nido cardioplegia administration in patients undergoing on pump congenital heart defect surgery. Study Design: The design used in this study was descriptive cross-sectional. Place and Duration of Study: The study was carried out at Pediatric Cardiac Surgery Department of Armed Forces Institute of Cardiology in Rawalpindi, Pakistan from Oct 2021 to Dec 2021. Methodology: Patients undergoing congenital heart surgery were the subject of interest in this study. The sample size was 147.Non-probability consecutive sampling technique was used. Patients undergoing on pump Congenital Heart Surgery, patients with age < 30 years, patients of both gender were included in our study. Patients with surgery of multiple stages (abdominal surgery, palliative surgery), Emergency patients, Chronic renal failure patients, Re-do operations were excluded from our study. Results: Sample size was 147 with anticipated percentage 10.7% having 78(53.1%) males and 69(46.9%) females who underwent congenital cardiac surgery. Statistical test was applied and results are significant. There was significant difference in the means of electrolyte levels after administration of Del-Nido Cardioplegia (p-value <0.05). Conclusion: Our study concluded that after Del-Nido Cardioplegia administration, imbalance in electrolytes levels (Sodium,Potassium, and Calcium) occur which causes hyperkalemia, hypernatremia and hypercalcemia. Prolonged cardiopulmonary bypass time and cross clamp time are risk factors for increased del-nido cardioplegia administration.
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spelling doaj.art-426e9adb697547f78d5a6839203c62b62023-01-31T08:22:42ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422022-11-0172SUPPL-310.51253/pafmj.v72iSUPPL-3.9568Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects SurgeryMah Noor0Muhammad Imran Asghar1Muhammad Shoaib Umer2Naseem Azad3Hafsa Khalil4Zara Chachar5Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan Objective: To evaluate the variation (increase or decrease) in Electrolytes level after del-nido cardioplegia administration in patients undergoing on pump congenital heart defect surgery. Study Design: The design used in this study was descriptive cross-sectional. Place and Duration of Study: The study was carried out at Pediatric Cardiac Surgery Department of Armed Forces Institute of Cardiology in Rawalpindi, Pakistan from Oct 2021 to Dec 2021. Methodology: Patients undergoing congenital heart surgery were the subject of interest in this study. The sample size was 147.Non-probability consecutive sampling technique was used. Patients undergoing on pump Congenital Heart Surgery, patients with age < 30 years, patients of both gender were included in our study. Patients with surgery of multiple stages (abdominal surgery, palliative surgery), Emergency patients, Chronic renal failure patients, Re-do operations were excluded from our study. Results: Sample size was 147 with anticipated percentage 10.7% having 78(53.1%) males and 69(46.9%) females who underwent congenital cardiac surgery. Statistical test was applied and results are significant. There was significant difference in the means of electrolyte levels after administration of Del-Nido Cardioplegia (p-value <0.05). Conclusion: Our study concluded that after Del-Nido Cardioplegia administration, imbalance in electrolytes levels (Sodium,Potassium, and Calcium) occur which causes hyperkalemia, hypernatremia and hypercalcemia. Prolonged cardiopulmonary bypass time and cross clamp time are risk factors for increased del-nido cardioplegia administration. https://pafmj.org/index.php/PAFMJ/article/view/9568Congenital cardiac surgeryDel-nido Cardioplegia solutionElectrolytesHypercalcemiaHyperkalemiaHypernatremia.
spellingShingle Mah Noor
Muhammad Imran Asghar
Muhammad Shoaib Umer
Naseem Azad
Hafsa Khalil
Zara Chachar
Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
Pakistan Armed Forces Medical Journal
Congenital cardiac surgery
Del-nido Cardioplegia solution
Electrolytes
Hypercalcemia
Hyperkalemia
Hypernatremia.
title Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
title_full Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
title_fullStr Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
title_full_unstemmed Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
title_short Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
title_sort variations in electrolytes level after del nido cardioplegia administration in patients undergoing congenital heart defects surgery
topic Congenital cardiac surgery
Del-nido Cardioplegia solution
Electrolytes
Hypercalcemia
Hyperkalemia
Hypernatremia.
url https://pafmj.org/index.php/PAFMJ/article/view/9568
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AT muhammadshoaibumer variationsinelectrolyteslevelafterdelnidocardioplegiaadministrationinpatientsundergoingcongenitalheartdefectssurgery
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