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Comparison between the fluids Normal saline and Ringers Lactate in neurosurgery patients

Not Applicable
Conditions
Health Condition 1: C719- Malignant neoplasm of brain, unspecified
Registration Number
CTRI/2023/06/053974
Lead Sponsor
PGIMER CHANDIGARH
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1) Adult patients scheduled for elective craniotomy for supratentorial tumors under

general anaesthesia with tumor volume <200ml, where mannitol is being used

routinely.

2) Patients above the age of 18 years and below 65 years.

3) ASA I to ASA III patients.

Exclusion Criteria

1) Patients with deep seated and skull base tumors.

2) Patients with tumor volume >200ml.

3) Patients with CKD or those undergoing renal replacement therapy.

4) Patients with Chronic liver disease.

5) Patients receiving diuretic therapy preoperatively.

6) Pre-existing dyselectrolytemia.

7) Massive intraoperative blood loss.

8) If the patient requires hyperventilation to paCO2 <30 mm Hg.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare measured values of serum osmolality in neurosurgical patients receiving <br/ ><br>Normal Saline vs Ringers Lactate during elective craniotomy for Supratentorial tumors <br/ ><br>at the end of the surgery.Timepoint: After Induction <br/ ><br>And At the end of surgery
Secondary Outcome Measures
NameTimeMethod
Brain Relaxation ScoreTimepoint: at dura opening and at closure;Changes in hemodynamic parametersTimepoint: every 15 min from induction.;Comparison of the following parameters from baseline amongst the groups <br/ ><br>â?¢ Rise in osmolality from baseline in each group <br/ ><br>â?¢ Serum electrolytes <br/ ><br>â?¢ pH <br/ ><br>â?¢ LactateTimepoint: After Induction <br/ ><br>And At the end of surgery;MRS at dischargeTimepoint: at discharge;Total Blood loss, Blood and blood products infusion.Timepoint: At the end of Surgery;Total urine outputTimepoint: At the end of Surgery;Total volume of fluid (crystalloids and colloids) used.Timepoint: At the end of Surgery
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