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A study to detect the effect of operation related stress on urine filtration by kidneys in patient undergoing surgery for cancer and effect of increase in urine filtration on blood level of antibiotic drugs given during operatio

Not Applicable
Conditions
Health Condition 1: null- Cancer patients undergoing surgeries which will last for more than 3hrs
Registration Number
CTRI/2018/03/012596
Lead Sponsor
Tata Memorial Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1)Adult patients more than 18 years of age.

2)Patients admitted a day prior to surgery.

3)Surgeries lasting more than 3 hours.

4)Surgeries with routine intra-operative placement of arterial line.

5)Normal pre-operative renal functions (Creatinine clearance greater than 90 ml per min per 1.73 meter square)

Exclusion Criteria

Exclusion Criteria

1)Emergency Surgery.

2)Patient having pre-operative features suggestive of Systemic Inflammatory Response Syndrome (SIRS) / Sepsis.

2a.Temperature more than 38 degree Celsius (100.4 F) or less than 36 degree Celsius (96.6 F)

2b.Heart Rate more than 90 beats/minute

2c.WBC counts more than 12,000 per uL or less than 4000 per ul or more than 10% immature forms

2d.Respiratory rate more than 20 breaths per minute or paCO2 less than 32mmHg

3)Patients receiving pre-operative antibiotics.

4)Patients with calculated GFR less than 90 ml per min per 1.73 meter square

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To establish if ARC is observed in patients undergoing major surgeryTimepoint: 1.12 hrs prior surgery <br/ ><br>2. just prior initiation of surgery <br/ ><br>3. at time of wound closure after surgery
Secondary Outcome Measures
NameTimeMethod
To study the association of inflammatory biomarker levels with the development of ARC.Timepoint: 1. one day prior the surgery <br/ ><br>2. at the time of wound closure after surgery;To study the effect of ARC on pharmacokinetics of administered antibiotics.Timepoint: After surgery 5 mins, 15 mins, 30 mins, 1 hr, 1.5 hrs, 2 hrs , 4 hrs, 6 hrs, 8 hrs and 12 hrs
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