Department of Cardiac Anaesthesia, National Heart Centre, Royal Hospital, Muscat, Oman
Dr. A Annamalai if one of the dedicative professor working in Department of General Surgery, Babol university of Medical sciences, Iran. His research interests includes Emergency Medicine. Dr. Annamalai is serving as an editorial member and reviewer of several international reputed journals.
Research Article
Is Lignocaine Preconditioning Effective to Treat Severe Pulmonary Vasoconstriction Induced by Protamine During Cardiac Surgery?
Author(s): Sanjeev Singh* and Anbarasu Annamalai
Protamine is a low molecular weight protein fraction (5.5-13.0 kDa) that is rich in basic arginine (67%) and lysine amino
acids. They are basic polypeptides that neutralize the strongly negatively charged heparin. This study was aimed to explore
the effect of lignocaine preconditioning on protamine-induced pulmonary vasoconstriction, which is used to reverse the
effect of heparin during cardiac surgery. This was a prospective, single-centre, double-blind and randomised study performed
among eighty paediatric patients of either sex in the age group between 1 to 12 years with acyanotic congenital heart disease,
scheduled for elective on-pump cardiac surgery under general anaesthesia. The study participants were divided into four
groups: Group A non-pulmonary hypertension+lignocaine preconditioning, group B- non-pulmonary hypertension+normal
saline preconditioning, g.. View more»