Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients scheduled for elective major orthopedic surgeries will be selected with the following inclusion criteria: ASA grade I-III, Age between 40-70 years old, who were to undergo major elective orthopedic surgery expected to last at least 4 hours.
Exclusion criteria
Exclusion criteria: Exclusion criteria of the patients: overweight (BMI>35), left ventricular ejection fraction below 45%, significant cardiac arrhythmias, valvular lesions, coagulation disorders, perioperative renal insufficiency, impaired hepatic function, allergy to any drug used in this study, preoperative infection and pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| central venous-to-arterial carbon dioxide difference (Pcv-aCO2) | — |
Secondary
| Measure | Time frame |
|---|---|
| Central venous oxygen saturation (Scv O2) , lactate level and Hemodynamic variables: heart rate (beats/minute), mean arterial blood pressure (mmHg), central venous pressure (mmHg), oxygen saturation and urine output. | — |
Countries
Egypt
Contacts
Secretary of Research and opinion in Anesthesia and intensive care Journal