Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch

This prospective, randomized, controlled study was carried out to compare the usage of balanced and non balanced hydroxyethyl starch during elective colorectal surgery in term of changes in acid-base balance and renal profile in the immediate and early postoperative period. Thirty informed, consen...

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Main Author: Ramly, Nur Fariza
Format: Book
Language:English
English
Published: IIUM Press 2017
Subjects:
Online Access:http://irep.iium.edu.my/79203/
http://irep.iium.edu.my/79203/1/EFFECT%20OF%20COLLOID%20ON%20ACID-BASE%20BALANCE.pdf
http://irep.iium.edu.my/79203/7/73467_Effect%20of%20colloid%20on%20acid-base%20balance%20during%20colorectal%20surgery.pdf
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author Ramly, Nur Fariza
author_facet Ramly, Nur Fariza
author_sort Ramly, Nur Fariza
building IIUM Repository
collection Online Access
description This prospective, randomized, controlled study was carried out to compare the usage of balanced and non balanced hydroxyethyl starch during elective colorectal surgery in term of changes in acid-base balance and renal profile in the immediate and early postoperative period. Thirty informed, consented, adult patients with ASA I-II, undergoing open colorectal surgery with duration of more than three hours were recruited after excluding those with significant cardiac, liver or renal diseases, and those with allergy to the starches. These patients were randomly allocated into two study groups. The Balanced group received an intraoperative fluid regimen that consisted of Hartmann’s solution and balanced 6% hydroxytehyl starch (Tetraspan®). The Non Balanced group were given Hartmann’s solution and saline-based 6% hydroxyethyl starch (Venofundin®). Patients were kept hemodynamically stable and normovolumia throughout the operation by giving boluses of the study fluids as volume replacement therapy. Biochemical indices for acid base balance and renal profile were reviewed at two endpoints: immediately post operation (at 1-hour) and early post operation (at 6-hour). There were no difference at immediate and early post operation respectively, noted in term of base excess (p = 0.733 , p = 0.507 ) , chloride (p = 0.483, p = 0.401), lactate (p = 0.477, p = 0.993), urea (p = 0.244, p = 0.190) and creatinine (p = 0.578, p = 0.323) between both groups.
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institution International Islamic University Malaysia
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language English
English
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publishDate 2017
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spelling iium-792032025-04-09T08:59:42Z http://irep.iium.edu.my/79203/ Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch Ramly, Nur Fariza RD81 Anesthesiology This prospective, randomized, controlled study was carried out to compare the usage of balanced and non balanced hydroxyethyl starch during elective colorectal surgery in term of changes in acid-base balance and renal profile in the immediate and early postoperative period. Thirty informed, consented, adult patients with ASA I-II, undergoing open colorectal surgery with duration of more than three hours were recruited after excluding those with significant cardiac, liver or renal diseases, and those with allergy to the starches. These patients were randomly allocated into two study groups. The Balanced group received an intraoperative fluid regimen that consisted of Hartmann’s solution and balanced 6% hydroxytehyl starch (Tetraspan®). The Non Balanced group were given Hartmann’s solution and saline-based 6% hydroxyethyl starch (Venofundin®). Patients were kept hemodynamically stable and normovolumia throughout the operation by giving boluses of the study fluids as volume replacement therapy. Biochemical indices for acid base balance and renal profile were reviewed at two endpoints: immediately post operation (at 1-hour) and early post operation (at 6-hour). There were no difference at immediate and early post operation respectively, noted in term of base excess (p = 0.733 , p = 0.507 ) , chloride (p = 0.483, p = 0.401), lactate (p = 0.477, p = 0.993), urea (p = 0.244, p = 0.190) and creatinine (p = 0.578, p = 0.323) between both groups. IIUM Press 2017 Book PeerReviewed application/pdf en http://irep.iium.edu.my/79203/1/EFFECT%20OF%20COLLOID%20ON%20ACID-BASE%20BALANCE.pdf application/pdf en http://irep.iium.edu.my/79203/7/73467_Effect%20of%20colloid%20on%20acid-base%20balance%20during%20colorectal%20surgery.pdf Ramly, Nur Fariza (2017) Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch. IIUM Press, Kuala Lumpur, Malaysia. ISBN 978-967-418-715-6 http://online.anyflip.com/fdlst/gtlp/mobile/index.html
spellingShingle RD81 Anesthesiology
Ramly, Nur Fariza
Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch
title Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch
title_full Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch
title_fullStr Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch
title_full_unstemmed Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch
title_short Effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch
title_sort effect of colloid on acid-base balance during colorectal surgery: balanced (tetraspan) versus non balanced (venofundin) hydroxyethyl starch
topic RD81 Anesthesiology
url http://irep.iium.edu.my/79203/
http://irep.iium.edu.my/79203/
http://irep.iium.edu.my/79203/1/EFFECT%20OF%20COLLOID%20ON%20ACID-BASE%20BALANCE.pdf
http://irep.iium.edu.my/79203/7/73467_Effect%20of%20colloid%20on%20acid-base%20balance%20during%20colorectal%20surgery.pdf