Anaesthesia
Conditions
Interventions
intraoperative restrictive fluid therapy
Cardiometry guided goal directed fluid therapy
Sponsors
Anesthesia department faculty of medicine tanta university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ? Participants: adult patients aged 21 – 60 years. ? Inclusion criteria • Patients scheduled for neurosurgery in abnormal position (sitting or prone) with expected marked fluid shift. • Age from 21 to 60 years old. • Patients with GCS 15 (fully conscious). • ASA physical status II or III. • Competence to consent.
Exclusion criteria
Exclusion criteria: • Patients refuse to participate in our study. • Patients with BMI more than 35 or less than 25. • Patients with cardiac arrhythmia (limitation to use stroke volume variation as an indicator of fluid responsiveness). • Significant renal dysfunction (serum creatinine > 1.5 mg/dl). • Severe heart failure (New York Heart Association classification 3 or 4). • Severe uncontrolled pulmonary disease. • Non-extubated patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lung ultrasound score | — |
Secondary
| Measure | Time frame |
|---|---|
| total intraoperative fluid requirements, number of fluid boluses, number of patients requiring vasopressors, and urine output, postoperative pulmonary complications, postoperative morbidity (the proportion of patients who developed one or more complications), and ICU length of stay. | — |
Countries
Egypt
Contacts
Public ContactKamal Heikal
Professor of anesthesiology and surgical ICU and pain medicine faculty of medicine tanta university
Outcome results
None listed