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Perioperative fluid management is crucial for patients' outcome. Muller et al developed a "Mini-fluid challenge method " to predict fluid responsiveness and the efficacy. The investigators design the study to investigate the effectiveness of mini-fluid challenge test in prone position surgery.
Perioperative fluid management is crucial for patients' outcome. Series of studies have indicated that adequate fluid management optimizes the cardiac out put, improves tissue perfusion, thus decrease the risk of postoperative morbidity. Muller et al developed a "Mini-fluid challenge method " to predict fluid responsiveness and the efficacy. To the best of our knowledge, the efficacy of the test was not discussed in the perioperative care in prone position surgery. The investigators design the study to investigate the effectiveness of mini-fluid challenge test in prone position surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mini-Fluid Challenge arm | Experimental | Fluid challenge test will be presented after induction of anesthesia at a steady state. Fluid challenge test includes 2 components: 100 ml colloid infusion in 1 min followed by 400 ml colloid infusion in 14 mins. Hemodynamic parameter after 1 minute of the end of the 1st and 2nd colloid infusion bolus will be collected. Applied colloid: hydroxyethyl starch |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mini-fluid challenge | Other | Mini-fluid challenge test with 100mL colloid infusion in 1 min |
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| Measure | Description | Time Frame |
|---|---|---|
| Change of cardiac index after fluid loading | interpretate the correlation of mini-fluid challenge and conventional fluid challenge | 3hr |
| Measure | Description | Time Frame |
|---|---|---|
| pulse pressure variation(PPV) | interpretate the correlation of PPV and conventional fluid challenge | 3hr |
| Measure | Description | Time Frame |
|---|---|---|
| stroke volume variation(SVV) | interpretate the correlation of SVV and conventional fluid challenge | 3hr |
| plethysmographic variation index(PVI) | interpretate the correlation of PVI and conventional fluid challenge |
Inclusion Criteria: meet both of
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University | Taipei | Taiwan |
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| 3hr |