Metabolic profile in right lobe living donor hepatectomy: Comparison of lactated Ringer′s solution and normal saline versus acetate based balanced salt solution - a pilot study

Background and Aims: Lactate levels predict outcomes after hepatectomy. We compared metabolic effects of lactated versus lactate free solutions in living donor hepatectomy. Methods: Consecutive right lobe donors (n = 53) were alternatively allotted to lactated Ringer′s solution and normal saline (Group L-control) or acetated crystalloid (Sterofundin B Braun ® Group S -study group) in an observational prospective randomised study. The primary outcome measure was lactate level, and secondary outcomes were base excess, bicarbonate, glucose and chloride intra- and post-operatively. Mann-Whitney and Chi-square tests were used for analysis. Results: The intraoperative, post-operative lactate levels and the time for normalisation were comparable. Group L had significantly lower intraoperative bicarbonate levels (mmol/L) at 6 and 8 h (20.0 ± 2.14 vs. 21.3 ± 1.6, P = 0.0471; 18.68 ± 2.04 vs. 20.39 ± 17, P = 0.002), base excess at 4 and 6 h (mmol/L) (−3.64 ± 2.73 vs. −3.0 ± 1.52, P = 0.031; −6.64 ± 2.76 vs. −4.35 ± 1.7 P = 0.006). The intraoperative chloride levels (mmol/L) were higher in group L at 4 and 8 h (108 ± 5.9 vs. 105.99 ± 2.76, P = 0.0471; 109.51 ± 3.86 vs. 106.93 ± 3.09, P = 0.002). Intraoperative glucose (mg/dL) at 6 h was higher in group L, 160.55 ± 31.52 vs. 145.5 ± 24.29, P = 0.043. The highest post-operative chloride (mmol/L) was higher in Group L (112.3 ± 3.86 vs. 109.81 ± 3.72, P = 0.034). Post-operative base excess and bicarbonate showed an improved profile in Group S (−7.37 ± 2.99 vs. −5.06 ± 1.71 P = 0.001 and 17.79 ± 2.23 vs. 19.68 ± 1.51 P = 0.005). Conclusion: Acetated fluids were associated with higher levels of bicarbonate, lesser base deficit, glucose and chloride but no difference in lactate levels in comparison with Ringer′s lactate and normal saline in living donor hepatectomy

TEQIP - III Sponsored First International Conference on Innovations and Challenges in Computing, Analytics and Security

This book contains abstracts of the various research papers of the academic & research community presented at the International Conference on Innovations and Challenges in Computing, Analytics and Security (ICICCAS-2020). ICICCAS-2020 has served as a platform for researchers, professionals to meet and exchange ideas on computing, data analytics, and security. The conference has invited papers in seven main tracks of Data Science, Networking Technologies, Sequential, Parallel, Distributed and Cloud Computing, Advances in Software Engineering, Multimedia, Image Processing, and Embedded Systems, Security and Privacy, Special Track (IoT, Smart Technologies and Green Engineering). The Technical and Advisory Committee Members were from various countries that have rich Research and Academic experience. Conference Title: TEQIP - III Sponsored First International Conference on Innovations and Challenges in Computing, Analytics and SecurityConference Acronym: ICICCAS-2020Conference Date: 29-30 July 2020Conference Location: Pondicherry Engineering College, Puducherry – 605014, India (Virtual Mode)Conference Organizer: Department of Computer Science and Engineering, Pondicherry Engineering College, Puducherry, India.Conference Sponsor: TEQIP-III NPIU (A Unit of the Ministry of Human Resource Development, India)