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Detecting if Change in the exhaled Carbon Dioxide signifies change in Cardiac output for the prediction of response to fluids in adult patients undergoing cancer surgery

Not Applicable
Conditions
Health Condition 1: C189- Malignant neoplasm of colon, unspecifiedHealth Condition 2: C229- Malignant neoplasm of liver, not specified as primary or secondaryHealth Condition 3: C259- Malignant neoplasm of pancreas, unspecifiedHealth Condition 4: C20- Malignant neoplasm of rectumHealth Condition 5: C169- Malignant neoplasm of stomach, unspecifiedHealth Condition 6: C569- Malignant neoplasm of unspecifiedovaryHealth Condition 7: C55- Malignant neoplasm of uterus, partunspecified
Registration Number
CTRI/2022/04/041695
Lead Sponsor
Sohan Lal Solanki
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Adult (Age 18 and above)

2. Giving informed consent

3. ASA PS 1, 2, 3

4. Planned for surgeries routinely requiring radial artery cannulation and the FlotracTM and Vigileo EV1000 / Volumeview cardiac output monitor for perioperative care used as a part of routine intraoperative management

Exclusion Criteria

1. Planned for open thoracic surgery

2. History of Cardiac arrhythmias/ intraoperative Cardiac arrhythmias

3. Heart failure: both systolic and diastolic heart failure (with or without reduced Left ventricular ejection fraction)

4. Severe restrictive/obstructive lung disease (MRC score 3 and above)

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
to determine whether the delta ETCO2 after a fluid challenge test identifies fluid responsiveness, i.e., increase in stroke volume index (dSVI) and Cardiac Index (dCI) 10%.Timepoint: After 1 minute of fluid boluses over 10 minutes.
Secondary Outcome Measures
NameTimeMethod
To compare the ability to delta ETCO2 to discriminate between fluid responders and non-responders with that of PPV and Stroke Volume Variation (SVV)Timepoint: After 1 minute of fluid boluses over 10 minutes.
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