Fasting and Carbohydrate fluid responsiveness on preload during passive leg raise test in patients undergoing thoraco- abdominal surgeries
Not Applicable
- Conditions
- Health Condition 1: J851- Abscess of lung with pneumoniaHealth Condition 2: O- Medical and Surgical
- Registration Number
- CTRI/2021/03/031776
- Lead Sponsor
- AIIMS Rishikesh
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
1. Elective thoracic and upper abdomen surgery
2. Age 18-60 years
3. Both gender male and female
4. ASA I ââ?¬â?? III
5. LVEF > 45%
6. Patients admitted at least 2 days before surgery
7. Patients posted as 1st case elective surgery
Exclusion Criteria
1 Emergency surgery
2 Age less than 18years or more than 60 years
3 ASA IV and above
4 Patient in need of bowel preparation.
5 Patient with cardiac arrhythmia or valvular pathology
6 Poor echo window
7 2nd case planned for surgery.
8 BMI >30
9 Patients with renal insufficiency (S. creatinine �2.0mg/dl)
10 Patients on diuretic medication.
11 Uncontrolled DM
12 Patients requiring intravenous fluid before surgery
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare change in proportion of responders by measuring change in percentage velocity time integral over left ventricle outflow tract to passive leg raise test between patients with pre-operative oral carbohydrate solution and with conventional overnight fastingTimepoint: T1- day 1 night patient in semi recumbent position <br/ ><br>T2- day 1 night patient after PLR <br/ ><br>T3- day 2 morning after intervention fasting/carbohydrate fluid patient in semi recumbent position <br/ ><br>T4- day 2 morning patient after PLR <br/ ><br>T5- day 2 night patient in semi recumbent <br/ ><br>T6- day 2 night patient after PLR <br/ ><br>T7- day 3 morning patient after intervention cross over other than previos intervention, in semi recumbent position <br/ ><br>T8- patient after PLR
- Secondary Outcome Measures
Name Time Method A) To compare the proportion of patients having significant change in grading of diastolic dysfunction using parameters of left ventricle diastolic dysfunction as Mitral valve inflow E/A ratio, Mitral valve annulus e� velocity, E/e� ratio and peak Tricuspid regurgitation velocity after conventional overnight fasting and carbohydrate loading during surgery <br/ ><br>Timepoint: As the same point as primary outcome, diastolic dysfunction is noted as secondry outcome. there is mo follow up time point in the study