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Postoperative Hyponatremia - Are There Gender Differences?
This study is currently recruiting participants.
Verified by Karolinska University Hospital, August 2008
Sponsored by: Karolinska University Hospital
Information provided by: Karolinska University Hospital
ClinicalTrials.gov Identifier: NCT00636857
  Purpose

The proposed study will focus on anesthesia and anesthesia-induced hypotension as a possible cause for postoperative fluid retention and hyponatremia, and investigate gender differences in this response.


Condition Intervention
Hyponatremia
Procedure: Fluid administration
Procedure: Perioperative fluid management based on Lean Body Mass

MedlinePlus related topics: Anesthesia
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study
Official Title: Postoperative Hyponatremia - Are There Gender Differences?

Further study details as provided by Karolinska University Hospital:

Primary Outcome Measures:
  • Change between preoperative and postoperative plasma sodium concentration [ Time Frame: 24 hrs ] [ Designated as safety issue: No ]

Estimated Enrollment: 60
Study Start Date: March 2008
Estimated Study Completion Date: September 2010
Estimated Primary Completion Date: August 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
I: Experimental
Perioperative fluid management based on body weight
Procedure: Fluid administration
Preoperative: bolus of 10 ml/kg body weight. During operation: 5 ml/kg body weight/hr. Postoperative: 3 ml/kg body weight/hr
II: Active Comparator
Perioperative fluid management based on Lean Body Mass (LBM)
Procedure: Perioperative fluid management based on Lean Body Mass
Preoperative: bolus of 12 ml/kg LBM. During operation: 6 ml/kg LBM/hr. Postoperative: 3.5 ml/kg LBM/hr

Detailed Description:

30 healthy women and 30 healthy men, who are scheduled for surgery of the middle ear or parotic gland are included in the study. Within each gender group, the subjects are randomized to receive perioperative intravenous fluid regimes either based on body weight or lean body mass (LBM). The surgery lasts for at least 3 hours, the intervention period (fluid administration according to protocol) will last 10-12 hours, the study period will be 20-24 hours. Blood samples for analysis of plasma sodium, potassium, glucose and osmolality are collected preoperatively and the following morning together with analysis of urine produced during the study period.

  Eligibility

Ages Eligible for Study:   18 Years to 50 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • ASA Physical status I-II
  • Subjects scheduled for otorinolaryngoiatric surgery in general anesthesia of at least 3 hours duration

Exclusion Criteria:

  • BMI less than 18
  • BMI greater than 33
  • Diabetes mellitus requiring medication
  • Treatment with diuretics
  • ACE-inhibitors
  • Angiotensin II antagonists
  • Cortisone
  • Lithium
  • Diseases of the kidney
  • Females:

    • Pregnancy
    • Menopause
    • Endocrine dysfunction influencing menstruation
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00636857

Contacts
Contact: Johan Ullman, MD., PhD. +46 8 51 77 00 00 johan.ullman@karolinska.se

Locations
Sweden
Dept. of Anesthesiology and Intensive Care, Karolinska University Hospital, Solna Recruiting
Stockholm, Sweden, 171 76
Principal Investigator: Johan Ullman, MD., PhD.            
Sponsors and Collaborators
Karolinska University Hospital
Investigators
Principal Investigator: Johan Ullman, MD., PhD. Dept. of Anesthesiology and Intensive Care, Karolinska Institute, Stockholm
  More Information

Responsible Party: Dept. of Anesthesiology and Intensive Care, Karolinska University Hospital ( Claes Frostell, MD., PhD. )
Study ID Numbers: NKOISR10003
Study First Received: March 10, 2008
Last Updated: August 25, 2008
ClinicalTrials.gov Identifier: NCT00636857  
Health Authority: Sweden: The National Board of Health and Welfare

Keywords provided by Karolinska University Hospital:
Water-Electrolyte Imbalance

Study placed in the following topic categories:
Metabolic Diseases
Hyponatremia
Water-Electrolyte Imbalance
Metabolic disorder

ClinicalTrials.gov processed this record on January 16, 2009