Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: A preoperative arterial line and serial intraoperative ABG analysis: Arterial line will be taken with strict aseptic precautions by an experienced anesthesiologist. A baseline ABG is do
Sponsors
TNMC & BYL Nair Ch Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. All patients above 18 years of age. 2. Patients undergoing elective craniotomy for Space Occupying Lesion (Infective, malignant, metastasis) 3. Patients undergoing emergency craniotomy for Traumatic Brain Injury (TBI)
Exclusion criteria
Exclusion criteria: 1. Patients having preoperative deranged renal function. 2. Patients with preoperative metabolic disturbances secondary to other causes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To determine the occurrence of electrolyte imbalances such as Hyponatremia, Hypernatremia in adult patients undergoing elective craniotomy. 2.To determine the electrolyte imbalances such as hyponatremia and hypernatremia in all patients undergoing surgery for traumatic brain injury. 3.To determine the perioperative changes in lactate levels in all patients undergoing both elective and emergency craniotomy. Timepoint: Blood gas, lactate and electrolytes are measured and following time points. Preoperative, After Skin incision, After Craniotomy, During Skin closure, Post extubation if performed, POD at 6hrs, 12 hrs, 24hrs, 48 hrs, 72 hrs and POD 7 | — |
Secondary
| Measure | Time frame |
|---|---|
| To study the impact of early diagnosis of electrolyte imbalances intraoperatively with appropriate fluid management based on electrolyte imbalances in the postoperative prognosis of the patient.Timepoint: POD 0, POD 1, POD 2, POD 3, POD 7 | — |
Countries
India
Contacts
Public ContactDr Sona Dave
TNMC, BYL Nair Ch. Hospital
Outcome results
None listed