To study effect of hip-shoulder width ratio and waist-shoulder width ratio on cephalad spread of spinal Anesthesia in caesarean section; A prospective observational study

Not yet recruiting

• Conditions: Obstetrics,

• Registration Number: CTRI/2023/04/051628
• Lead Sponsor: Department of Anesthesiology

Brief Summary

Study conducted in 120 parturient ( excluding exclusion criteria) undergoing LSCS. Informed consent will be taken from patients. Detailed history and investigations will be checked.patient will be shifted to OT, monitors attached. Vitals will be noted. Hip circumference, waist circumference, shoulder width, height, weight noted. Sub arachnoid block given with inj Bupivaccaine 0.5% heavy 2 ml for all patients in lateral position. Patients made to lie in supine position with left lateral displacement. Spinal level checked every 1 minute for 5 minutes and then every 5 minutes for 30 minutes. Surgeon allowed to proceed once level become T6. Vitals are also monitored every 3 minutes and noted.

Hip shoulder width ratio and waist-shoulder width ratio calculated.

Objective to determine the correlation between hip shoulder width ratio and sensory level in sub arachnoid block and to determine any correlation between waist-shoulder width ratio and sensory level in sub arachnoid block. Also to ascertain whether hip shoulder width ratio or waist shoulder width ratio is a better predictor of cephalad spread of sub arachnoid block.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-04-13
• Study Start: 2023-04-20

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Female
• Target Recruitment: 120

Inclusion Criteria

Singleton pregnancy Gestational age more than 37 weeks Height between 150-170 cm.

Exclusion Criteria

Fetal distress, neuromuscular diseases, hypovolemia or shock, Electrolyte imbalance, Infection on back, On anticoagulant therapy, Vertebral anomaly, Obstetric comorbidities, Medical comorbidities.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To determine the correlation between hip shoulder width ratio and sensory level of sub arachnoid block in parturient undergoing LSCS	12 months
To determine any correlation between waist-shoulder width ratio and sensory level of sub arachnoid block in parturient undergoing LSCS	12 months

Secondary Outcome Measures

Name	Time	Method
Better predictor for cephalad spread- Hip shoulder width ratio or waist shoulder width ratio	1 year

Trial Locations

Locations (1)

Shri Lal Bahadur Shastri medical college Nerchowk at Mandi, Himachal Pradesh; 🇮🇳 Mandi, HIMACHAL PRADESH, India

Shri Lal Bahadur Shastri medical college Nerchowk at Mandi, Himachal Pradesh

🇮🇳Mandi, HIMACHAL PRADESH, India

Dr Anshit Pathania

Principal investigator

7018152725

apathania26@gmail.com