Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged >18 years, with American Society of Anesthesiology Physical Status (ASA PS) 1-3, scheduled to undergo elective major abdomino-pelvic oncological surgeries that are expected to last >2 hours. patient undergoing surgery with expected blood loss > 300ml
Exclusion criteria
Exclusion criteria: age Patients with decompensated ischemic heart disease, left ventricular ejection fraction , preoperative creatinine > 2 mg/dl, renal failure, oliguria or anuria or on hemodialysis, coagulopathy, impaired liver function, Pregnant and lactating patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-operative morbidity survey score (POMS) on post-operative day 2Timepoint: Post-operative day 2 | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperatively: HR, MAP, PPV, SVV, CI, total fluid administered, total number of fluid boluses, urine output, estimated blood loss, blood products transfused, total vasopressor requirement, inotrope requirement.Post-operatively: ABG, changes in coagulation profile & kidney function on POD â?? 0, 1, Length of stay in ICU/hospital, requirement of additional inotropic support, blood transfusion, incidence of complications during hospital admission.Timepoint: Intraoperatively: HR, MAP, PPV, SVV, CI measured every 15 minutes. Total fluid, urine output, blood loss measured hourly. Number of fluid boluses, blood products, vasopressor/inotrope requirement will be added at the end of the case. Post-operatively:ABG, coagulation profile & kidney function on POD-0&1.Length of stay in ICU/hospital, inotropic support, blood transfusion, post-operative complications will be noted throughout hospital stay. | — |
Countries
India
Contacts
National Cancer Institue-AIIMS, Jhajjar