Fluid responsiveness in patients undergoing surgery for traumatic brain surgery using intraoperative ECHO placed through esophagus and cardiac output monitoring
Not Applicable
- Conditions
- Health Condition 1: S069- Unspecified intracranial injury
- Registration Number
- CTRI/2022/02/039919
- Lead Sponsor
- ATIONAL INSTITUITE OF MENTAL HEALTH AND NEUROSCIENCES
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
• Patients aged between 18 to 60 years.
• Isolated moderate to severe TBI patients
undergoing surgery.
• Patients operated in the supine position
Exclusion Criteria
Previous history suggestive of upper gastrointestinal surgery,esophageal varices,strictures , gastric ulcer
Previous history suggestive of cardiac arrythmias , heart disease
Patients with faciomaxillary surgeries,oropharyngeal bleed, cervical spine injury
Pregnant patients
Refusal by patients relatives
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To estimate fluid responsiveness in isolated TBI patients during surgery using SVCCI and SVV compared to fluid challenge with CI.Timepoint: 1.After induction of anesthesia. <br/ ><br>2. After 5ml/kg bolus of crystalloid over 10 minutes. <br/ ><br>3. After craniotomy. <br/ ><br>4. At the end of surgery.
- Secondary Outcome Measures
Name Time Method 1.To determine the correlation between dynamic parameters derived from TEE and FloTrac monitor. <br/ ><br>2.To determine the neurological outcome of patients between fluid responders and non-responders. <br/ ><br>Timepoint: 1.After induction of anesthesia. <br/ ><br>2.After 5ml/kg bolus of crystalloid over 10 minutes. <br/ ><br>3.After craniotomy. <br/ ><br>4.At the end of surgery. <br/ ><br>GOS at discharge and at 3 months over telephone <br/ ><br> <br/ ><br>