Health Condition 1: - Health Condition 2: null- Adult patients scheduled for major orthopaedic surgery under general anaesthesia with anticipated blood loss greater than 200-300 ml will be included in the study.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients scheduled for major orthopaedic surgery under general anaesthesia with anticipated blood loss > 200-300 ml will be included in the study.
Exclusion criteria
Exclusion criteria: Those 65 years, body mass index 40 kg/m2, will not be included. Patients with preoperative renal dysfunction, receiving renal replacement therapy, transplanted kidney, significant dysrhythmia, cardiac failure, stroke, coronary heart disease with left ventricular ejection fraction <50%, or preoperative haemoglobin < 8 gm% will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Early postoperative Acute Kidney Injury diagnosed by the levels of NGAL(Neutrophil gelatinise associated Lipocalcin) in urine.Timepoint: After completion of surgery and on first postoperative day. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Early postoperative AKI diagnosed as per conventionally used definitions formulated by the Kidney Disease Initiative: Global Outcomes (KDIGO) guidelines, using serum creatinine and/or urine output. 2. Intraoperative haemodynamic stability: in terms of mean arterial pressure, cardiac index and stroke volume/SVV. Timepoint: 1. For early AKI: Serum creatinine will be done at 48 hours postoperatively. 2. For intraoperative haemodynamic stability the stated variables will be recorded every 10 minutes intraoperatively till end of surgery. | — |
Countries
India
Contacts
Department of Anaesthesiology and Critical Care