Spinal Surgery
Conditions
Keywords
metabolic acidosis, plasmalyte solution, 0.9% normal saline
Brief summary
Chloride-rich isotonic crystalloid solutions have been shown to exert electrolyte imbalance and metabolic acidosis in critically ill patients. The aim of this investigation is to compare the influence of 0.9% saline and plasmalyte solution on acid-base balance and electrolytes in healthy patients undergoing major spine surgeries.
Interventions
In each group, patients received either 0.9% normal saline or plasmalyte solution until end of surgery.
In each group, patients received either 0.9% normal saline or plasmalyte solution until end of surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
1.50 patients (aged 20-65) undergoing cervical or lumbar spine surgery who were diagnosed spinal stenosis involving more than tow spinal levels.
Exclusion criteria
1. ASA class III or IV 2. pregnancy 3. breast feeding 4. lack of mental weakness(including disabled) 5. using diuretics 6. respiratory insufficiency 7. metabolic acidosis or alkalosis 8. coagulation disorder 9. over hydtration 10. renal failure or serum creatinine \> 1.4mg/dl 11. anemia (Hemoglobin 9.0\<mg/dl) 12. hypernatremia (Na \> 145mEq/L) 13. Hyperkalemia (K\>5.5mEq/L) 14. psychological medication or any drugs that influences renal clearance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| base-excess | Change from baseline in base-excess at postoperative 12 h |
Countries
South Korea