Condition 1: hemorrhagic shock. Condition 2: Acidosis. Hypovolemic shock Acidosis
Conditions
Interventions
Intervention 1: Intervention group: Patients who has blood loss more than 500 cc during surgery within 20 minutes and have a systolic blood pressure less than 100 mm Hg, sodium bicarbonate infusion
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: All patients whose bleeding is more than 500 cc systolic blood pressure lower than 100 mm patients with ASA I,II,III who are candidates for orthopedic Hip surgery, neurosurgery, and vascular surgery. patients required to receive blood transfusions, patients with hemorrhagic shock
Exclusion criteria
Exclusion criteria: All patients with liver dysfunction lung disorders such as COPD increased ICP Patients who do not agree to participate in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lactic Acidosis. Timepoint: At the end of surgery. Method of measurement: Vein blood sample mg/dl.;Blood pressure changes. Timepoint: After the start of bicarbonate or serum at minutes 3-6-9 12-15. Method of measurement: Through the artier line with Lidco device /mmgh. | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood acidosis. Timepoint: At the end of transfusion. Method of measurement: Arterial blood sample. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammadreza Khajavi
Tehran University of Medical Sciences
Outcome results
None listed