Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Diabetic patients of either gender aged 18 to 70 years undergoing elective open gastrointestinal surgery with duration 4-8 hours under combined general and epidural anaesthesia will be included as test groups (PD, TD, ED) . 2. Non-diabetic patients of either gender aged 18 to 70 years undergoing elective open gastrointestinal surgery with duration 4-8 hours under combined general and epidural anaesthesia will be included as control group (EC). 3. preoperative HbA1C of less than 8 %.
Exclusion criteria
Exclusion criteria: 1.hepato- biliary and pancreatic surgeries 2. other concomitant endocrine disorders, 3. receiving preop/intraop steroids and beta-blockers, 4.renal or hepatic disease and 5.Pregnant or lactating women 6.intraoperative Blood loss more than 500 ml 7. surgeries more than 8 hours duration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| to compare S. cortisol levels at 4 hours after etomidate/thiopentone/propofol induction in diabetic patients and etomidate induction in non diabetic patients respectivelyTimepoint: at 4 hours after induction | — |
Secondary
| Measure | Time frame |
|---|---|
| 1..to compare S. cortisol levels at 24 hours after etomidate/thiopentone/ propofol induction in diabetic patients and etomidate induction in non-diabetic patients respectively 2. ? to evaluate the blood sugar levels baseline, 4 hr, 8 hr, 12 hr, 24 hr with etomidate/thiopentone/propofol induction in diabetic patients and etomidate induction in non diabetic patients respectively . Timepoint: 1S.Cortisol at 24 hours after induction 2. blood sugar levels baseline, 4 hr, 8 hr, 12 hr, 24 hr after induction | — |
Countries
India
Contacts
Nizams Institute of Medical Sciences Hyyderabad: Pincode: 500082