Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Elective Infra Renal Aortic Bypass Surgery patients of both sexes who are >18 years of age ,posted in the first surgical slot (09:00 hours)
Exclusion criteria
Exclusion criteria: (1) Age less than 18 years. (2) Concomitant cardiac surgery (3) Preexisting renal failure (4) Preexisting cardiac failure (5) Aortic surgeries with clamp applied above the renal arteries (6) Insulin dependent Type 2 diabetes mellitus (7) Refusal of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in Arterial lactate,blood sugarTimepoint: Arterial lactate,blood sugar measured immediately prior to induction,there after every hourly during intra-operative,every six hourly in post operative period in post operative period for first 24 post operative period | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in levels of Hunger, thirst, mouth dryness, nausea, anxiety,SOFA score,Requirement of IV regular insulin to maintain sugar 200 mg/dl,Requirement of supplemental intravenous dextrose to maintain sugar 100 mg/dl .Operating time (min),requirement of transfusions(trigger of 9 g/dl Hb),peri-operative Cardiac arrhythmias,Inotropic support during surgery and first 24 hrs of ICU (Vasoactive inotropic score-VIS score) ,plasma creatinine ,Ventilation weaning time (min),length of ICU stay (LOS)and final outcome at discharge as survivor or non-survivor.Timepoint: baseline prior to induction ,post extubation and first 24 hrs | — |
Countries
India
Contacts
Sri Jayadeva Institute of Cardiovascular Sciences and Research