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Behaviour of Intravenous Solutions in Obese Patients Under General Anesthesia

Not Applicable
Conditions
Obesity
Obesity, Morbid
Registration Number
NCT01652131
Lead Sponsor
National Institute of Medical Sciences and Nutrition, Salvador Zubiran
Brief Summary

There is no objective evidence of how long intravenous solutions remain inside venous blood vessels after they have been administered, therefore there is no definite guideline of how to administer them in the preoperative setting. Besides, obese patients represent a particular group of subjects as they theoretically with-hold a constant inflammatory response and that would modify the way solutions behave intravenously, that is how long they remain inside.

Having said this, we wish to describe the way colloid solutions behave in this group of patients by taking serial blood samples in 12 obese patients after a colloid infusion, to calculate plasma dilution curves based on hemoglobin dilution and therefore infer the time it remains intravascularly.

All this in the hope this information will help, in the near future, to establish a more objective way to use these solutions and avoid possible complications due to over-administration.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
12
Inclusion Criteria
  • clinical diagnosis of obesity (IMC >35kg/m2) that will be treated with gastrojejunal laparoscopic bypass
Exclusion Criteria
  • Renal failure KDOQI >3
  • Cardiac failure NYHA III-IV
  • Sepsis
  • Allergy to tetrastarch
  • Allergy to any of the anesthetic medication that is to be used in the protocol previously established
  • Patients in which vasoactive drugs are used
  • Patients in which the blood samples are completed.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
description of colloid volume kinetics in obese patients after the infusion of Tetrastarch (130/0.4)90 minutes after beginning of the infusion

different kinetic parameters will be used to asses the behavior of the colloid solution

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

National Institute of Medical Sciences, Salvador Zubiran

🇲🇽

Mexico City, Distrito Federal, Mexico

National Institute of Medical Sciences, Salvador Zubiran
🇲🇽Mexico City, Distrito Federal, Mexico
Bernardo Gutierrez Sougarret, M.D.
Sub Investigator
Guillermo Dominguez Cherit, M.D.
Sub Investigator

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