Health Condition 1: J851- Abscess of lung with pneumonia Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Intervention1: patient is given carbohydrate fluid one night before surgery. In night echo is done and VTI noted in semi recumbent position and after PLR. Then carbohydrate fluid is given in night.: I
Sponsors
AIIMS Rishikesh
Eligibility
Inclusion criteria
Inclusion criteria: 1. Elective thoracic and upper abdomen surgery 2. Age 18-60 years 3. Both gender male and female 4. ASA I ââ?¬â?? III 5. LVEF > 45% 6. Patients admitted at least 2 days before surgery 7. Patients posted as 1st case elective surgery
Exclusion criteria
Exclusion criteria: 1 Emergency surgery 2 Age less than 18years or more than 60 years 3 ASA IV and above 4 Patient in need of bowel preparation. 5 Patient with cardiac arrhythmia or valvular pathology 6 Poor echo window 7 2nd case planned for surgery. 8 BMI >30 9 Patients with renal insufficiency (S. creatinine �2.0mg/dl) 10 Patients on diuretic medication. 11 Uncontrolled DM 12 Patients requiring intravenous fluid before surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare change in proportion of responders by measuring change in percentage velocity time integral over left ventricle outflow tract to passive leg raise test between patients with pre-operative oral carbohydrate solution and with conventional overnight fastingTimepoint: T1- day 1 night patient in semi recumbent position T2- day 1 night patient after PLR T3- day 2 morning after intervention fasting/carbohydrate fluid patient in semi recumbent position T4- day 2 morning patient after PLR T5- day 2 night patient in semi recumbent T6- day 2 night patient after PLR T7- day 3 morning patient after intervention cross over other than previos intervention, in semi recumbent position T8- patient after PLR | — |
Secondary
| Measure | Time frame |
|---|---|
| A) To compare the proportion of patients having significant change in grading of diastolic dysfunction using parameters of left ventricle diastolic dysfunction as Mitral valve inflow E/A ratio, Mitral valve annulus eââ?¬â?¢ velocity, E/eââ?¬â?¢ ratio and peak Tricuspid regurgitation velocity after conventional overnight fasting and carbohydrate loading during surgery Timepoint: As the same point as primary outcome, diastolic dysfunction is noted as secondry outcome. there is mo follow up time point in the study | — |
Countries
India
Contacts
Public ContactDr Vikas Yadav
AIIMS Rishikesh
Outcome results
None listed