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pulse pressure variation based intraoperative fluid therapy versus traditional fluid therapy for colonic cancer patients undergoing mass resection and anastomosis for maintaining adequate hydration without complications.
All Patients will be assigned randomly by using computerized program to one of the two equal groups. Patients will be (forty five patients per group):
Group A ;( control group) Forty five patients will do elective open colonic mass resection and anastomosis. Infusion of 6 ml/kg/hr. Ringer's solution.
Group B; Forty five patients will do elective open colonic mass resection and anastomosis. Infusion of 2 ml/kg/hr. Ringer's solution guided by pulse pressure variation.
Intraoperative fluid volume, hemodynamics, serum lactate and intestinal edema will be measured after induction of anesthesia and every hour till the end of the operation, length of the hospital stay, first time to gastrointestinal motion and postoperative complications are recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conventional fluid management group | Experimental | patients will do elective open colonic mass resection and anastomosis will receive Infusion of 6 ml/kg/hr. Ringer's solution. |
|
| ppv group | Active Comparator | patients will do elective open colonic mass resection and anastomosis. Infusion of 2 ml/kg/hr. Ringer's solution guided by pulse pressure variation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pulse pressure variation | Device | Infusion of 2 ml/kg/hr. Ringer's solution guided by pulse pressure variation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative fluid volume | calculated immediately after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| intraoperative blood pressure | every ten minutes till the end of the surgery | |
| lactate level | every hour till the end of the surgery | |
| POSTOPERATIVE COMPLICATIONS |
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Inclusion Criteria:
Exclusion Criteria:
participant eligibility is based on self-representation of gender identity
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain shams university | Cairo | 20 | Egypt |
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| conventional fluid management | Other | Infusion of 6 ml/kg/hr. Ringer's solution. |
|
| till one week after surgery |
| intestinal oedema | intraoperatively after tumor resection |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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