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Evaluating the chloride levels and pH values following Sterofundin and Plasmalyte infusion in elective major abdominal surgery

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2024/07/069723
Lead Sponsor
Postgraduate Institute of Medical Education and Research Chandigarh
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patients between age 18 to 70 years undergoing elective major abdominal surgery (more than 2 hours of projected operating time)

ASA-PS class 1, 2 and 3

Exclusion Criteria

Patients who are hemodynamically unstable preoperatively

Presence of preoperative metabolic acidosis (arterial pH lower than 7.2, lactate over 2 mmol per L, bicarbonate less than 16 mEq/L)

Acute and, or chronic kidney disease

Presence of preoperative fluid overload (pleural, pericardial effusion, ascites)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To estimate the difference in serum chloride and pH at the end of major abdominal surgery between the sterofundin and plasmalyte groupTimepoint: At the time of skin closure and before extubation
Secondary Outcome Measures
NameTimeMethod
To compare blood gas parameters (HCO3-, BE, pCO2, pO2), electrolytes (Na+, K+, Ca++, Mg++) and lactate at the end of surgery.Timepoint: At the end of surgery;To compare the difference in strong ion difference using stewarts approachTimepoint: At the time of skin closure and before extubation;To compare the prevalence of postoperative AKI as per KDIGO criteriaTimepoint: At the end of postoperative day 7;To compare the total volume of intraoperative crystalloids, colloids and blood products used.Timepoint: Intra operative period;To compare the Vasoactive Inotrope scores between the groupsTimepoint: At the end of surgery
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