Sustainable anesthesia for coronary artery bypass grafting
Sustainable Anesthesia in Myocardial Revascularization Surgery: a Non-randomized Interventional Study
This project will test whether an 'optimized recovery' anesthesia approach for adults having elective coronary artery bypass grafting produces better environmental, clinical, and cost outcomes than standard anesthesia.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 116 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Universidad de La Frontera Academic / other |
| Locations | 1 site (Temuco, Araucania) |
| Trial ID | NCT07508865 on ClinicalTrials.gov |
What this trial studies
This non-randomized comparison will enroll adults scheduled for elective coronary artery bypass grafting at Hospital Hernán Henríquez Aravena in Temuco and compare an optimized recovery anesthetic technique to standard anesthetic practice. Investigators will use life-cycle assessment (LCA) methods to quantify environmental impacts (including CO2e) and will collect clinical metrics such as complications, time to extubation, and ICU length of stay. Economic data will be gathered to perform cost-effectiveness analyses across the three pillars of sustainability: environmental, clinical, and economic. Combined procedures and reoperations are excluded and participants must be competent adults able to consent.
Who should consider this trial
Good fit: Adults (18+) with coronary artery disease scheduled for elective coronary artery bypass graft surgery at Hospital Hernán Henríquez Aravena who can give informed consent are the intended participants.
Not a fit: Patients undergoing combined procedures, reoperations, emergent surgeries, or those unable to consent are excluded and would not be expected to benefit from this protocol.
Why it matters
Potential benefit: If successful, the approach could reduce operating-room greenhouse gas emissions while shortening ICU stays and lowering overall costs for elective CABG patients.
How similar studies have performed: Enhanced recovery techniques in cardiac surgery have shown improvements in extubation times and length of stay, while applying life-cycle assessment to perioperative care for sustainability is a newer, less-tested approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients with coronary artery disease scheduled for coronary artery bypass graft surgery at Dr. Hernán Henríquez Aravena Hospital in Temuco. 2. Competent patients over 18 years of age, meaning they can easily understand the informed consent process and the characteristics of the study. 3. Elective interventions. Exclusion Criteria: 1. Interventions combined with other procedures or surgeries. 2. Reoperations or second cardiac or thoracic surgical interventions.
Where this trial is running
Temuco, Araucania
- Hospital Hernán Henríquez Aravena — Temuco, Araucania, Chile (Recruiting)
Study contacts
- Principal investigator: Waldo Merino, MSc — Universidad de La Frontera
- Study coordinator: Waldo Merino, MSc
- Email: waldo.merino@ufrontera.cl
- Phone: +56974954831
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.