Digestive System Surgery Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged between 18 and 80 years. Need for ICU admission after colonic surgery. Requirement of TPN for at least 5 days due to failure of or contraindication for enteral nutrition. Signing a written informed consent
Exclusion criteria
Exclusion criteria: Patients with persistent hemodynamic instability (systolic blood pressure <80 mm Hg). Renal impairment, hepatic insufficiency. Severe or uncontrolled sepsis Persistent metabolic acidosis. Head trauma, heart failure, Any sensitivity to components of L-alanyl L-glutamine (Dipeptiven®, Fresenius Kabi, Germany) or NAC
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -evaluate the efficacy of NAC through assessing the changes in the serum level of malondialdehyde (MDA) as antioxidant marker ;evaluate changes in the tumor necrosis factor alpha (TNF-a) as anti-inflammatory marker | — |
Secondary
| Measure | Time frame |
|---|---|
| safety evaluation by recording any side effect that may appear | — |
Countries
Egypt
Contacts
pharmacist in elkasr elainy