Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Group G-Goal-directed (GD) intraoperative fluid management using Plethysmography Variation Index (PVI): monitored with the Masimo PVI Monitor to maintain PVI-13% OR Less. Boluses if PVI
Sponsors
All India Institute of Medical Sciences, Rishikesh
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anesthesiologists (ASA) physical status grade I & II patients,undergoing prone position craniotomy with expected duration of surgery up to 4 to 7hrs, at All India Institute of Medical Sciences, Rishikesh will be enrolled in the study.
Exclusion criteria
Exclusion criteria: obese patients patients who refuse to consent for the surgery. patients with significant cardiac, respiratory , renal & liver disorders. patients with haemoglobinopathies. patients with more than 3 attempts for intubation. patients with massive blood loss-more than 50% in 3 hours patients with prone position more than 7 hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the effect of intraoperative goal directed fluid administration on the various upper airway structures thickness using ultrasound in patients undergoing craniotomy in prone position with duration of prone position more than 4 hours to less than 7 hours.Timepoint: T1-Baseline T2-Post intubation T3-At end of surgery, when patient is positioned supine | — |
Secondary
| Measure | Time frame |
|---|---|
| To study the effect of intraoperative goal directed fluid administration on - cuff leak volume Incidence of re-intubation. Duration of postoperative mechanical ventilation. Duration of ICU & hospital stay Incidence of postoperative sore throat & postoperative hoarseness of voice Timepoint: cuff leak volume-intraoperative rest outcome-postoperative period | — |
Countries
India
Contacts
Public ContactDrPriyanka Gupta
AIIMS, RISHIKESH
Outcome results
None listed