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There is no objective evidence of how long intravenous solutions remain inside venous blood vessels after they have been administered, therefore there is no definite guideline of how to administer them in the preoperative setting. Besides, obese patients represent a particular group of subjects as they theoretically with-hold a constant inflammatory response and that would modify the way solutions behave intravenously, that is how long they remain inside.
Having said this, we wish to describe the way colloid solutions behave in this group of patients by taking serial blood samples in 12 obese patients after a colloid infusion, to calculate plasma dilution curves based on hemoglobin dilution and therefore infer the time it remains intravascularly.
All this in the hope this information will help, in the near future, to establish a more objective way to use these solutions and avoid possible complications due to over-administration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tetrastarch (130/0.4) | Other | In obese patients candidates to laparoscopic gastrojejunal bypass an infusion of Tetrastarch (130/0.4)) of 15mL/kg (of corrected weight) will be initiated after protocoled induction of general anesthesia. Blood samples will be taken at time 0 (after induction of anesthesia and before initiating infusion) and then every 5 minutes for half an hour and then every 15 minutes up to 90 minutes. Blood samples will be processed in the Institution's laboratory. Urine will be measured at the end of the intervention. With these data kinetic parameters will be estimated for each patient. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tetrastarch (130/0.4) | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| description of colloid volume kinetics in obese patients after the infusion of Tetrastarch (130/0.4) | different kinetic parameters will be used to asses the behavior of the colloid solution | 90 minutes after beginning of the infusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maria V Hernandez Martinez, M.D. | Contact | 52 55 54 87 09 00 | 5020/5021 | mvictoria20@me.com |
| Guillermo Dominguez Cherit, M.D. | Contact | 52 55 54 87 09 00 | 5020/5021 | guidom@prodigy.net.mx |
| Name | Affiliation | Role |
|---|---|---|
| Miguel F Herrera Hernandez, MD MSc PhD | National Institute of Medical Sciences, Salvador Zubiran | Study Director |
| Maria V Hernandez Martinez, M.D. | National Institute of Medical Sciences, Salvador Zubiran | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Institute of Medical Sciences, Salvador Zubiran | Recruiting | Mexico City | Mexico City | 14000 | Mexico |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D009767 | Obesity, Morbid |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |