Circulatory System fluid responsiveness in patients in icu after colorectal surgeries using dynamic indices as PVI Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1- Age =18 years and 2.5 mMol/L). 6- Patients with an arterial catheter and central venous catheter via the internal jugular vein or the subclavian vein. 7- Patients with normal sinus rhythm.
Exclusion criteria
Exclusion criteria: 1- Un satisfactory cardiacechogenicity. 2- Preexisting severe valvular heart disease. 3- Known tricuspid insufficiency, intracardiac shunt or cardiac arrhythmia. 4- Low left ventricular function (ejection fraction < 40%). 5- Any contraindication to fluid resuscitation, such as congestive heart failure, evidence of fluid overload or renal dysfunction. 6- Lung pathologies (like asthma, COPD). 7- Patients with contraindications for sedation by narcotics and midazolam like hepatic or renal dysfunction. 8- Patients suffering from type I /II diabetes. 9- Patients whose temporary removal of the compression stocking owing to venous insufficiency (i.e., deep venous thrombosis) could endanger patient safety.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is to compare effectiveness of PVI to PPV in predicting fluid response using cardiac index in patients admitted to ICU after colorectal surgery.The secondary outcome include the development of some possible complications such as bradycardia, hypotension , arterial spasm upon application of invasive blood pressure, hematoma | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome include the development of some possible complications such as bradycardia, hypotension , arterial spasm upon application of invasive blood pressure, hematoma . | — |
Countries
Egypt
Contacts
vice dean of research committee at faculty of medicine