Controlling the amount of fluids given to patients in perioperative setting can significantly influence their outcomes.
To overcome these problems and avoid the complications of over or underhydration, we use the Goal-directed fluid therapy(GDFT) guided by Inferior vena cava(IVC) collapsibility index approach in which dynamic parameters of volume responsiveness as a guide for fluid therapy. This will ensure that the fluids given were deficient from the circulation and improve the recovery of the patients according to enhanced recovery after surgery(ERAS) protocols.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
52
Measuring Inferior vena cava(IVC) diameter using ultrasound then calculation Inferior vena cava(IVC) collapsibility index and administer fluid accordingly.
standard fluid management
Mean Arterial Blood Pressure
intraoperative mean arterial blood pressure measured in mmHg
Time frame: intraoperatively every 5 minutes
Quality of Recovery-40 score(QoR-40)
QoR-40 score ranges from 40 to 200, the higher the score the better the outcome
Time frame: 24 hours postoperative
Heart Rate
intraoperative heart rate will be continuously monitored and recorded every 5 minutes
Time frame: intraoperatively every 5 minutes
Post Anesthesia Care Unit(PACU) Stay
time spent in PACU after surgery measured in minutes
Time frame: 2 hours postoperatively
Total fluid intake during operation
Total fluid intake during operation
Time frame: intraoperatively
Number of patients that needed Ephedrine or Atropine
Number of patients that needed Ephedrine or Atropine intraoperatively
Time frame: intraoperatively
Peripheral perfusion index
Peripheral Perfusion Index (PPI) is defined as "the ratio of pulsatile blood flow to the non-pulsatile blood flow". It ranges from 0.02% to 20% and it is measured using specific types pulse oximetry and it reflects the perfusion status of the body.
Time frame: Intraoperatively
Length of hospital stay
the number of days from day of surgery until patient's discharge from hospital
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Time frame: the patient will be followed up for 60 days from day of surgery