Status:

UNKNOWN

Effect of Different Intravenous Fluids on Post-operative Chronic Subdural Hematoma Size and Recurrence

Lead Sponsor:

Carilion Clinic

Conditions:

Chronic Subdural Hematoma

Eligibility:

All Genders

18-65 years

Brief Summary

This study aims to reduce the recurrence rate of chronic subdural hematomas (CSDH) by manipulating the post-operative intravenous fluid use. The hypothesis relies on the relationship between osmolalit...

Detailed Description

Chronic subdural hematoma (CSDH) is a neurological disease characterized by a collection of fluid, blood, and blood degradation matter between the arachnoid and dura mater in a well-developed membrane...

Eligibility Criteria

Inclusion

  • Diagnosis of chronic subdural hematoma (based on imaging)
  • Need for surgical intervention (assessed by attending neurosurgeon based on full neurological assessment)
  • The procedure of choice is burr hole drainage
  • Cessation of anti-coagulant therapy with accompanying normal lab values in appropriate time frames respective to the drug
  • Tolerance of supine position

Exclusion

  • \<60 years old
  • Presence of acute hemorrhage, stroke, or parenchymal damage
  • Neurological deficits not accountable to mass effect
  • Hyponatremia or inherent electrolyte imbalances
  • Pregnancy or non-consentable patients
  • Previous neurological surgery up to 1 year before being considered for the study
  • Rapid re-expansion of brain observed intraoperatively by attending neurosurgeon
  • Congestive heart failure or other medical conditions precluding normal postoperative administration of IV fluids
  • Blood glucose levels \> 135 mg/dL

Key Trial Info

Start Date :

January 17 2019

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 1 2022

Estimated Enrollment :

35 Patients enrolled

Trial Details

Trial ID

NCT03831997

Start Date

January 17 2019

End Date

June 1 2022

Last Update

October 8 2020

Active Locations (1)

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1

Carilion Roanoke Memorial Hospital

Roanoke, Virginia, United States, 24016