Acute Kidney Injury Clinical Trial
Official title:
The Effect of Peroperative Fluid Management Strategy on Postoperative Renal Functions in Major Gyneco-oncological Surgeries
Verified date | November 2023 |
Source | Bakirkoy Dr. Sadi Konuk Research and Training Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this study is to evaluate the effect of perioperative fluid management on postoperative kidney damage in gynecological cancer surgeries. The main question[s] it aims to answer are: Does fluid management applied with different hemodynamic monitoring methods affect the risk of postoperative AKI? In our clinic, three different fluid management strategies are applied depending on the anesthetist experience. Acute kidney injury will be evaluated according to the postoperative AKIN classification of conventional fluid therapy and targeted fluid therapy with noninvasive or minimally invasive monitoring.
Status | Completed |
Enrollment | 180 |
Est. completion date | September 1, 2023 |
Est. primary completion date | August 1, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - >18 years - ASA II-III - Those with normal renal function Exclusion Criteria: - Patients in renal insufficiency - Patients with perioperative renal, ureter & bladder invasion - Patients in whom perioperative urine monitoring cannot be performed - Patients undergoing HIPEC - Patients with missing data |
Country | Name | City | State |
---|---|---|---|
Turkey | Basaksehir Çam and Sakura City Hospital | Istanbul | Basaksehir |
Lead Sponsor | Collaborator |
---|---|
Bakirkoy Dr. Sadi Konuk Research and Training Hospital |
Turkey,
Hasselgren E, Hertzberg D, Camderman T, Bjorne H, Salehi S. Perioperative fluid balance and major postoperative complications in surgery for advanced epithelial ovarian cancer. Gynecol Oncol. 2021 May;161(2):402-407. doi: 10.1016/j.ygyno.2021.02.034. Epub — View Citation
McKenny M, Conroy P, Wong A, Farren M, Gleeson N, Walsh C, O'Malley C, Dowd N. A randomised prospective trial of intra-operative oesophageal Doppler-guided fluid administration in major gynaecological surgery. Anaesthesia. 2013 Dec;68(12):1224-31. doi: 10 — View Citation
Russo A, Aceto P, Grieco DL, Anzellotti GM, Perilli V, Costantini B, Romano B, Scambia G, Sollazzi L, Antonelli M. Goal-directed hemodynamic management in patients undergoing primary debulking gynaecological surgery: A matched-controlled precision medicin — View Citation
Yildiz GO, Hergunsel GO, Sertcakacilar G, Akyol D, Karakas S, Cukurova Z. Perioperative goal-directed fluid management using noninvasive hemodynamic monitoring in gynecologic oncology. Braz J Anesthesiol. 2022 May-Jun;72(3):322-330. doi: 10.1016/j.bjane.2 — View Citation
Yu J, Che L, Zhu A, Xu L, Huang Y. Goal-Directed Intraoperative Fluid Therapy Benefits Patients Undergoing Major Gynecologic Oncology Surgery: A Controlled Before-and-After Study. Front Oncol. 2022 Apr 6;12:833273. doi: 10.3389/fonc.2022.833273. eCollecti — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | The intensive care unit admission | The other aim to investigate the intensive care unit admission | posoperatively up to 1 months | |
Other | Length of stay | The other aim to evaluate the duration of hospital stay. | postoperative 30 days | |
Primary | Evaluation of acute kidney injury | Our primary aim was to evaluate the postoperative day(POD1 ) creatinine values(mg/dl) | Change from preoperative to postoperative day 1(POD1)creatinine values(mg/dl) | |
Secondary | Peroperative fluid amounts | The seconder aim to investigate the amount of fluid used peroperatively | during the operation period |
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