Patients with spine surgery due to Spinal canal stenosis, spondylopathies and etc with past medical history of Hypertension or Diabetes mellitus, Ischemic heart disease, Chronic obstructive pulmonary disease. Spondylosis
Conditions
Interventions
Intervention 1: Intervention group: Fluid therapy based on Hemodynamic Monitoring such as Stroke Volume Variation, Cardiac Output, Systemic Vascular Resistance and etc given by LidcoRapid Hemodynamic
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: operations longer than 2 hours Ischemic heart disease Chronic obstructive pulmonary disease
Exclusion criteria
Exclusion criteria: Patient refusal Irregular heart rhythm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Base excess. Timepoint: Before intervention and 1, 2, 3 hours after intervention. Method of measurement: Arterial blood gas.;Days of hospital stay. Timepoint: ?Days of hospital stay after surgery. Method of measurement: Reading the files and visiting patients.;Days of Intensive Care Unit stay. Timepoint: Days of Intensive Care Unit stay after surgery. Method of measurement: Reading the files and visiting patients.;Postoperative nausea and vomiting. Timepoint: Nausea and vomiting after 12, 24 and 36 hours after surgery. Method of measurement: History Taking.;Pulmonary edema. Timepoint: Until 24 hours after surgery. Method of measurement: Chest Radiography and Physical examination.;Serum Transfusion. Timepoint: During Surgery. Method of measurement: Measurement of Serum given during surgey.;Oral intake Tolerance. Timepoint: 24 hours after surgery. Method of measurement: History taking. | — |
Secondary
| Measure | Time frame |
|---|---|
| Acute Respiratory Distress Syndrome. Timepoint: 48 hours after surgery. Method of measurement: Chest Radiography, Blood gas analysis.;Pneumonia. Timepoint: 48 hours after surgery. Method of measurement: Clinical manifestation and Chest radiography.;Myocardial infarction. Timepoint: 48 hours after surgery. Method of measurement: Lab tests and Electrocardiography.;Hospital readmission. Timepoint: 30 days after discharge. Method of measurement: Postoperative evaluation.;Urinary Tract Infection. Timepoint: 48 hours after surgery. Method of measurement: Clinical manifestation, Urine analysis. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr Reza shariat Moharari
Tehran University of Medical Sciences
Outcome results
None listed