Oral Fluid Replacement, Osteoarthritis, Knee, Total Knee Arthroplasty
Conditions
Brief summary
The goal of this study is to compared efficacy of oral fluid and intravenous fluid after primary unilateral total knee arthroplasty. The main question it aims to answer is: Does oral fluid replacement after primary unilateral total knee arthroplasty provide a patient recover faster than intravenous fluids replacement?
Interventions
Postoperation * Off IV fluid immediately postoperative * Allow patients drink oral fluid as protocol for 24hr
Postoperation * IV fluid replacement as protocol for 24hr * Allow patients drink oral fluid as usual
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 40-85 years old * ASA I, II * Primary osteoarthritis
Exclusion criteria
* Diuretics use * Morbid obesity * Previous knee surgery * Cannot undergo spinal anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to stand and walk | Postoperative day 1 | Stand and walk with walker |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of oliguria | Postoperative day 1,2 | Urine output \< 0.5ml/kg/hr |
| Incidence of nausea/vomiting | Postoperative day 1,2 | record symptom of nausea and vomiting |
| Urine specific gravity | Postoperative day 1 | Urine specific gravity every 4 hours |
| Time up and go | 24 and 48 hours | Record time since stand up and walk 3 meters, or 10 feet away, on the floor |
| the levels of creatinine | Postoperative day 1,2 | Blood chemistry |
| the levels of blood urea nitrogen (BUN). | Postoperative day 1,2 | Blood chemistry |
| Complications | Until postoperative 3months | Pulmonary edema, heart failure, acute kidney injury |
| the levels of certain electrolytes | Postoperative day 1,2 | Blood chemistry |
Countries
Thailand