Health Condition 1: V279- Unspecified motorcycle rider injured in collision with fixed or stationary object in traffic accident
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients posted for lower limb orthopaedic surgery under spinal anaesthesia in supine position. patients with American society of anaesthesia physical status I and II Patients listed for elective surgery. Fasting for more than 8 hours.
Exclusion criteria
Exclusion criteria: patients with American society of anaesthesia physical status III and more. Pregnant women. Patients with abdominal mass or ascites.• Patients posted for emergency surgery. Contraindication for spinal anaesthesia. BMI more than 30 kilogram per meter square Patients who are on drugs which is affecting vascular status and tone. Example, Diuretics, Vasodilators and alpha blockers etc. Patients who are requiring over night hydration.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| which fluid is better in terms of reduction of Inferior vena cava collapsibility index. Ringer lactate or sterofundineTimepoint: Preloading:IVCCI measured before fluid administration (fasting state). Post-Preloading: IVCCI measured immediately after 500 ml fluid administration. Post-Spinal Anesthesia: IVCCI measured at 15 minutes and 30 minutes after spinal anesthesia. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of hypotension after spinal anesthesia in both groups. Requirement for inotropes (example, ephedrine) to manage hypotension. Hemodynamic changes (heart rate, blood pressure) post-spinal anesthesia.Timepoint: Up to 30 minutes post-spinal anesthesia. During the first 30 minutes after spinal anesthesia. Monitored continuously, with specific measurements at 15 minutes and 30 minutes after spinal anesthesia. | — |
Countries
India
Contacts
GMERS, medical college and hospital, Gotri, Vadodara