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Oral Fluid vs IV Fluid After Primary TKA

Not Applicable
Recruiting
Conditions
Osteoarthritis, Knee
Total Knee Arthroplasty
Oral Fluid Replacement
Interventions
Dietary Supplement: Oral fluid
Dietary Supplement: IV fluid
Registration Number
NCT06288815
Lead Sponsor
Thammasat University Hospital
Brief Summary

The goal of this study is to compared efficacy of oral fluid and intravenous fluid after primary unilateral total knee arthroplasty.

The main question it aims to answer is:

Does oral fluid replacement after primary unilateral total knee arthroplasty provide a patient recover faster than intravenous fluids replacement?

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
130
Inclusion Criteria
  • Age 40-85 years old
  • ASA I, II
  • Primary osteoarthritis
Exclusion Criteria
  • Diuretics use
  • Morbid obesity
  • Previous knee surgery
  • Cannot undergo spinal anesthesia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Oral fluidOral fluid* NPO (8hr for food, 2hr for water) * Intraoperative IV fluid at least 1 liter * Post operative (Off IV fluid, allow oral fluid as protocol at least 24hr)
IV fluidIV fluid* NPO (8hr for food, 2hr for water) * Intraoperative IV fluid at least 1 liter * Post operative (IV fluid as protocol at least 24hr, allow oral fluid as usual)
Primary Outcome Measures
NameTimeMethod
Time to stand and walkPostoperative day 1

Stand and walk with walker

Secondary Outcome Measures
NameTimeMethod
the levels of blood urea nitrogen (BUN).Postoperative day 1,2

Blood chemistry

Incidence of oliguriaPostoperative day 1,2

Urine output \< 0.5ml/kg/hr

Incidence of nausea/vomitingPostoperative day 1,2

record symptom of nausea and vomiting

Urine specific gravityPostoperative day 1

Urine specific gravity every 4 hours

Time up and go24 and 48 hours

Record time since stand up and walk 3 meters, or 10 feet away, on the floor

the levels of certain electrolytesPostoperative day 1,2

Blood chemistry

the levels of creatininePostoperative day 1,2

Blood chemistry

ComplicationsUntil postoperative 3months

Pulmonary edema, heart failure, acute kidney injury

Trial Locations

Locations (1)

Thammasat University

🇹🇭

Khlong Luang, Pathum Thani, Thailand

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