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Pulse Pressure Variation Based Intraoperative Fluid Management Versus Traditional Fluid Management for Colonic Cancer Patients Undergoing Mass Resection and Anastomosis

Pulse Pressure Variation Based Intraoperative Fluid Management Versus Traditional Fluid Management for Colonic Cancer Patients Undergoing Mass Resection and Anastomosis

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05502835
Enrollment
90
Registered
2022-08-16
Start date
2022-08-20
Completion date
2023-01-25
Last updated
2023-01-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

First Time to Gastrointestinal Motion, Hemodynamics, Intestinal Edema, Intraoperative Fluid Volume, Length of the Hospital Stay, Postoperative Complications, Serum Lactate

Brief summary

pulse pressure variation based intraoperative fluid therapy versus traditional fluid therapy for colonic cancer patients undergoing mass resection and anastomosis for maintaining adequate hydration without complications.

Detailed description

All Patients will be assigned randomly by using computerized program to one of the two equal groups. Patients will be (forty five patients per group): Group A ;( control group) Forty five patients will do elective open colonic mass resection and anastomosis. Infusion of 6 ml/kg/hr. Ringer's solution. Group B; Forty five patients will do elective open colonic mass resection and anastomosis. Infusion of 2 ml/kg/hr. Ringer's solution guided by pulse pressure variation. Intraoperative fluid volume, hemodynamics, serum lactate and intestinal edema will be measured after induction of anesthesia and every hour till the end of the operation, length of the hospital stay, first time to gastrointestinal motion and postoperative complications are recorded.

Interventions

Infusion of 2 ml/kg/hr. Ringer's solution guided by pulse pressure variation.

Infusion of 6 ml/kg/hr. Ringer's solution.

Sponsors

Ain Shams University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* American Society of Anesthesiologists physical status (ASA-PS) I and II Patients. * Patients scheduled for elective open colonic mass resection and anastomosis.

Exclusion criteria

* Serious cardiac arrhythmia. * Peripheral artery disease. * An ejection fraction below 30%. * A pulmonary pathology.

Design outcomes

Primary

MeasureTime frame
Intraoperative fluid volumecalculated immediately after surgery

Secondary

MeasureTime frame
intraoperative blood pressureevery ten minutes till the end of the surgery
lactate levelevery hour till the end of the surgery
POSTOPERATIVE COMPLICATIONStill one week after surgery
intestinal oedemaintraoperatively after tumor resection

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026