Comparison comparatively less amount of fluid therapy and liberal fluid therapy on kidney function parameters in patients who are taken for Major Abdominal and Gynaecological: A prospective Randomised Clinical Trial
- Conditions
- Health Condition 1: C19- Malignant neoplasm of rectosigmoidjunction
- Registration Number
- CTRI/2021/04/032579
- Lead Sponsor
- one
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
We will include the following patients: Adults (>=18 years) of either sex undergoing elective major Abdominal & Gynaecological surgeries.
All these patients have increased risk of postoperative complications, defined by at least one of the following criteria:
age >=70 years
known or documented history of coronary artery disease
known or documented history of heart failure
diabetes currently treated with an oral hypoglycemic agent and/or insulin
preoperative serum creatinine >200 μmol/L ( >2.8 mg/dL)
morbid obesity (body mass index [BMI] >=35 kg/m2)
preoperative serum albumin <30 g/L
anaerobic threshold (if performed) <12 mL/kg/min
or two or more of the following risk factors:
â??â??American Society of Anesthesiologists (ASA) physical status 3 or 4
â??â??chronic respiratory disease
â??â??obesity (BMI 30â??35 kg/m2)
â??â??aortic or peripheral vascular disease
â??â??preoperative hemoglobin <100 g/L
â??â??preoperative serum creatinine 150â??199 μmol/L ( >1.7 mg/dL)
â??â??anaerobic threshold (if performed) 12â??14 mL/kg/min.
We will apply the following exclusion criteria: Urgent or time-critical surgery
ASA physical status 5
Chronic renal failure requiring dialysis
Liver resection
Minor or intermediate surgery,
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method change serum creatinine and cystatin -CTimepoint: in 72 hours
- Secondary Outcome Measures
Name Time Method Delta change in serum sodium, potassium and chloride levelsTimepoint: with in 48 hours