Health Condition 1: S069- Unspecified intracranial injury
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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. 2. After 5ml/kg bolus of crystalloid over 10 minutes. 3. After craniotomy. 4. At the end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To determine the correlation between dynamic parameters derived from TEE and FloTrac monitor. 2.To determine the neurological outcome of patients between fluid responders and non-responders. Timepoint: 1.After induction of anesthesia. 2.After 5ml/kg bolus of crystalloid over 10 minutes. 3.After craniotomy. 4.At the end of surgery. GOS at discharge and at 3 months over telephone | — |
Countries
India
Contacts
NATIONAL INSTITUTE OF MENTAL HEALTH AND NEUROSCIENCES, BENGALURU