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Intraoperative goal directed fluid management guided by pulse pressure variation versus standard fluid therapy in supratentorial brain tumor craniotomy : A randomized controlled study / Tarek Abdelfattah Zanata ; Supervised Amina Hassan Husieny Omran , Ahmed Mohammed Hasanin , Safinaz Hassan Osman

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Tarek Abdelfattah Zanata , 2018Description: 95 P. ; 25cmOther title:
  • دراسه عشوائيه لمقارنه التوجيه الأمثل لأداراه السوائل داخل الجسم باستخدام التفاوت فى الضغط النبضى مع الطرق القياسيه فى اداره السوائل أثناء جراحات الأورام مافوق الخيمة المخيه [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia Summary: Background: Neurosurgical operations are characterized by major fluid shift, frequent use of diuretics, and prolonged operative time. All these factors make fluid management in these procedures complex and challenging. Evidence on an optimum protocol for intraoperative fluid management in neurosurgical patients is still lacking. The aim is to compare PPV-guided fluid approach to standard fluid management in patients undergoing supratentorial mass excision. Methods: A randomized, controlled study was conducted in Cairo University hospitals ,sixty-one patients scheduled for supratentorial mass excision were randomized into two groups: Control group (Fluid management done through standard fluid management ).Study group (Fluid management done through GDT using PPV). BRS, fluids infused, urine output, hemodynamics, post operative data and post operative hospital stay were compared. Results: A statistically significant difference was found as follow: GDFT group guided by PPV received more number of fluid boluses (p <0.001) and higher total fluids (P=0.002) compared to the control group. Higher urine output (p<0.001 ) and lower postoperative serum lactate (p=0.03) were reported in the GDFT group. BRS together with intraoperative hemodynamic data, Postoperative laboratory investigations and postoperative hospital stay were comparable between both groups
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.01.Ph.D.2018.Ta.I (Browse shelf(Opens below)) Not for loan 01010110075902000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.01.Ph.D.2018.Ta.I (Browse shelf(Opens below)) 75902.CD Not for loan 01020110075902000
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Cai01.11.01.Ph.D.2018.Mo.E Effect of ultrasound guided L1, L2 paravertebral block in decrease the requirements for hypotensive drugs during general anesthesia in patients undergoing hip surgeries / Cai01.11.01.Ph.D.2018.Mo.N New technique in post dural puncture headache (PDPH) management comparison between neostigmine, gabapentine and conventional treatment / Cai01.11.01.Ph.D.2018.Mo.N New technique in post dural puncture headache (PDPH) management comparison between neostigmine, gabapentine and conventional treatment / Cai01.11.01.Ph.D.2018.Ta.I Intraoperative goal directed fluid management guided by pulse pressure variation versus standard fluid therapy in supratentorial brain tumor craniotomy : A randomized controlled study / Cai01.11.01.Ph.D.2018.Ta.I Intraoperative goal directed fluid management guided by pulse pressure variation versus standard fluid therapy in supratentorial brain tumor craniotomy : A randomized controlled study / Cai01.11.01.Ph.D.2018.We.C Comparative study between intrathecal dexmedetomidine versus intrathecal magnesium sulfate in prevention of post spinal shivering in uroscopic surgery / Cai01.11.01.Ph.D.2018.We.C Comparative study between intrathecal dexmedetomidine versus intrathecal magnesium sulfate in prevention of post spinal shivering in uroscopic surgery /

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia

Background: Neurosurgical operations are characterized by major fluid shift, frequent use of diuretics, and prolonged operative time. All these factors make fluid management in these procedures complex and challenging. Evidence on an optimum protocol for intraoperative fluid management in neurosurgical patients is still lacking. The aim is to compare PPV-guided fluid approach to standard fluid management in patients undergoing supratentorial mass excision. Methods: A randomized, controlled study was conducted in Cairo University hospitals ,sixty-one patients scheduled for supratentorial mass excision were randomized into two groups: Control group (Fluid management done through standard fluid management ).Study group (Fluid management done through GDT using PPV). BRS, fluids infused, urine output, hemodynamics, post operative data and post operative hospital stay were compared. Results: A statistically significant difference was found as follow: GDFT group guided by PPV received more number of fluid boluses (p <0.001) and higher total fluids (P=0.002) compared to the control group. Higher urine output (p<0.001 ) and lower postoperative serum lactate (p=0.03) were reported in the GDFT group. BRS together with intraoperative hemodynamic data, Postoperative laboratory investigations and postoperative hospital stay were comparable between both groups

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