anesthesia management of high risk paitents
Conditions
Interventions
Group 1:Drink carbohydrate 200ml 2h before anesthesia+vigileo guided fluid therapy during surgery
Group 2:Routine NPO+routine anesthesia management
Sponsors
Sichuan Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Aged=65 years, ASA II and above, open surgery, surgery time>2 hours, elective and high risk surgery, non-cardiac and non-cardiovascular surgery.
Exclusion criteria
Exclusion criteria: Arrhythmia, diabetes, patients with high risk of reflux and aspiration (delayed or disfunction of gastric emptying, achalasia cardia), history of gastrointestinal surgery, medicine abuse, psychiatric disease and compliance problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| length of hospital stay;length of hospital stay after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| blood routine test;liver function;kidney function;K+;Na+;Ca2+;cross-sectional area of antrum;gastric volume;systolic blood pressure;diastolic blood pressure;mean arterial blood pressure;heart rate;SPO2;cerebral state index (CSI);central venous pressure (CVP);SVV;CO;CI;SV;SVI;DO2;blood gas analysis;dose of sufentanil;dose of propofol;dose of sevoflurance;dose of remifentanil;time of anesthesia;time of surgery;time of awkening;time of extubation;blood loss;urine volume;crystalliods;colliods;total infusion volume;blood transfusion;dose of ephedrine;frequency of ephedrine;dose of atropine;frequency of atropine;dose of phenylephrine;frequency of phenylephrine;dose of norepinephrine,;length of norepinephrine pumping;dose of epinephrine;length of epinephrine pumping;postoperative feeding time;extubation time of drainage tube;intestinal function recovery(bowel sounds, intestinal peristalsis;drainage volume;complications(cardiovascular system and etc);the number of death;costs;costs after surgery;ICU admission;length of ICU stay;length of respiratory support in ICU;usage of vasoactive drugs in ICU;Incision healing;the time of removing stitches;blood glucose;insulin level;insulin resistance index;insulin secretion index;insulin sensitivity index;incidence of postoperative nausea;incidence of postoperative vomiting; | — |
Countries
China
Contacts
Public ContactXinchuan Wei
Department of Anesthesiology, Sichuan Provincial People's Hospital
Outcome results
None listed