Impact of a Balanced Infusion Solution Compound of 50% Crystalloid and 50% Colloid Versus an Unbalanced Infusion Solution of 100% Crystalloid Within a Goal-directed Hemodynamic Protocol on Acid-base Balance
Overview
- Phase
- Phase 4
- Status
- Completed
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Standard Base Excess
Overview
Brief Summary
The purpose of this study is to determine whether the administration of a compound of balanced infusion solutions including 50% crystalloid and 50% colloid has a positive impact on acid-base balance in elective hip replacement surgery. The application of the study medication will be carried out through a goal-directed intraoperative therapy by transoesophageal doppler.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Investigator)
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients at the age of 60 and above who want to undergo an elective hip replacement surgery in the center of musculoskeletal surgery
- •Offered patient information and written informed consent
Exclusion Criteria
- •Participation in another trial according to the German Drug Law 30 days to and during the study
- •Lacking willingness to save and hand out data within the study
- •Accommodation in an institution due to an official or judicial order
- •(Unclear) history of alcohol or substances disabuse
- •Absent knowledge of german language
- •Analphabetism
- •Allergy to hydroxyethyl starch or other ingredients of the intravenous solutions
- •For women: Pregnancy or positive pregnancy test within the preoperative screening
- •Operation due to case of emergency, polytrauma or pathologic fracture
- •Only use of regional anaesthesia
Arms & Interventions
unbalanced infusion solution
Intervention: Infusion Therapy (Drug)
balanced infusion solution compound
Intervention: Infusion Therapy (Drug)
Outcomes
Primary Outcomes
Standard Base Excess
Time Frame: up to 2 days
After administration of 2 litres of study medication. In recovery room. On general ward.
Secondary Outcomes
- Discharge Criteria, Length of Hospital Stay(5 days up to hospital discharge)
- SID (strong ion difference)(up to 2 days)
- Hemodynamic Stability(up to 6 days)
- Fluid Loss of Drainage(up to 6 days)
- Organ Function/Dysfunction(up to 6 days)
- Incidence of Infections(up to 5 days)
- Pain(up to 6 days)
- Mobilisation(up to 6 days)
- Incidence of Delirium(up to 6 days)
- Incidence of Postoperative Cognitive Deficit (POCD)(up to 90 days after surgery)
Investigators
Claudia Spies
Prof. MD, Director of the Dept. of Anaesthesiology and Intensive Care Medicine, CVK, CCM
Charite University, Berlin, Germany