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Administration of 5% Dextrose/Hartmann's solution compared with 5% Dextrose/Half Normal (0.45%) Saline following spinal instrumentation surgery or craniotomy in children results in less post-operative hyponatraemia.

Phase 3
Completed
Conditions
Post-operative hyponatraemia
Blood - Other blood disorders
Registration Number
ACTRN12607000116426
Lead Sponsor
Dr Mark Coulthard
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
50
Inclusion Criteria

* Patients who are admitted to the Paediatric Intensive Care Unit (PICU) (elective or emergency) following spinal fusion or craniotomy surgery. * Spinal fusion surgery includes posterior spinal instrumentation and fusion.* Craniotomy surgery includes excision of tumours and surgical correction of craniostenoses.

Exclusion Criteria

* Parents/Guardians who are unable to read and write English.* Patients undergoing lengthening only of spinal growth rods, revision/insertion of ventriculoperitoneal (VP) shunts.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Hyponatraemia is defined as a plasma sodium concentration of less than 135mmol/L and will be measured by arterial blood gas analysis via Radiometer Copenhagen, ABL 725[Sodium levels will be measured within 1 hour and 12-16 hours post-operatively.]
Secondary Outcome Measures
NameTimeMethod
Change in serum Antidiuretic Hormone (ADH) levels.[Serum ADH levels will be measured at induction of surgery and 16 hrs post-operative. ];Amount of fluid bolus requirements in mls/kg up to 16 hrs post-operative.[12-16h post surgery]
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