For cesarean section height adjusted dose of bupivacaine and fixed dose of bupivacaine is used for spinal anaesthesia -which one is better for reducing incidence of hypotensio
Phase 4
- Conditions
- Health Condition 1: O746- Other complications of spinal andepidural anesthesia during labor and delivery
- Registration Number
- CTRI/2024/06/069444
- Lead Sponsor
- Dr SN medical college Jodhpur
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
Age more than 18 yrs
ASA1,2
Elective cesarean section
Singleton pregnancy more than 37weeks
Uncomplicated pregnancy
Exclusion Criteria
Presenting with any systemic illness
Emergent surgery and labouring parturients
Multiple or twin pregnancy
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Incidence of hypotension in height adjusted dose of 0.5% heavy bupivacaine (0.06mg/cm) in cesarean section under spinal anaesthesia compared to fixed dose 2ml(10mg) 0.5% heavy bupivacaine in cesarean section under spinal anaesthesia in control groupTimepoint: Blood pressure reading will be monitored once before spinal anaesthesia then after spinal anaesthesia every 1 min for 10 mins, every 5mins till 30 mins then every 10 mins till end of surgery.
- Secondary Outcome Measures
Name Time Method Cumulative dose of vasopressor(ephedrine) requiredTimepoint: After spinal anaesthesia till the end of surgery;Extent of surgical anaesthesia in each groupTimepoint: Time to achieve T6 level of sensory block and highest level of sensory block will be noted after administration of drug. <br/ ><br>Time to achieve bromage score 1 and time to achieve maximum level(bromage score 3) for motor block after drug administration will be noted.;Incidence of nausea and vomiting in each groupTimepoint: After spinal anaesthesia till end of surgery;Intraoperative fluid requirementTimepoint: After spinal anaesthesia till end of surgery;Other complications if anyTimepoint: After intrathecal drug administration in each group