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Perioperative intravenous fluid (IV) administration has been the standard procedure since 1832 and, is a widely used practice sometimes under inadequate criteria. The present work aims at verifying the clinical need that justifies the common IV fluid prescription on the postoperative (PO) period in patients undergoing videolaparoscopic cholecystectomy (CVL) elective.
Patients undergoing elective laparoscopy cholecystectomies were randomized to either routine practice fluid prescription (control group) or no IV fluids in the postoperative period. Thirst, hunger, presence of nausea and vomiting, renal function and personal satisfaction were assessed.
Body composition was evaluated by bioimpedance
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IV fluids | No Intervention | Regular IV fluids (Glucose 5% and Sodium Chloride 10% or Ringer) at the surgeon description | |
| No IV fluids | Experimental | No IV fluids after the termination of the operation. T |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Suspension of the IV fluids | Other | No IV fluids prescription, IV catheter filled with saline solution |
|
| Measure | Description | Time Frame |
|---|---|---|
| Renal function | Serum creatinine | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of thirst | Visual analog scale | 24 hours |
| Presence of nausea | Visual analog scale | 24 hours |
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Inclusion Criteria: Elective laparoscopy cholescitectomy; no intraoperative complication -
Exclusion Criteria: Co-existing severe renal failure, cardiac failure or pulmonary disease
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| ID | Term |
|---|---|
| D020250 | Postoperative Nausea and Vomiting |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009325 | Nausea |
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Controls - convention postoperative IV fluids; intervention arm - no IV fluids postoperative
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| Total intravenous prescribed fluids per body weight | 24 hours |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D014839 | Vomiting |