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To find out whether can we efficiently predict occurrence of post spinal hypotension by ultrasonographic evaluation of internal jugular vein in supine and trendelenburg position (15 degree head down position)

Not Applicable
Conditions
Health Condition 1: S829- Unspecified fracture of lower leg
Registration Number
CTRI/2024/04/065013
Lead Sponsor
Sawai man singh medical College
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patients who give informed written consent to participate in study

Adult patients undergoing elective orthopaedic surgeries under spinal anaesthesia aged between 18-55 years

Patients belonging to ASA 1 and 2

BMI of 18-30 kg/m2

Exclusion Criteria

Patients who are medically unfit for spinal anaesthesia and pregnant patients

Patients with baseline arterial SBP less than 90mmhg and MAP less than 70mmhg

Patients with neck deformity or having inability to turn neck will also be excluded

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. determining the cut off value of rate of change of IJV cross-sectional area (cm2) with posture <br/ ><br>2. determining the sensitivity and specificity of the cut off value of the rate of change of IJV cross-sectional area (cm2) with posture(%) <br/ ><br>3.To determine the proportion of complications(hypotension, bradycardia,nausea,vomiting,dysnoea) if any.Timepoint: IJV cross sectional area(cm2) in supine and trendelenburg position
Secondary Outcome Measures
NameTimeMethod
Haemodynamic parameters (HR,SBP,DBP,MAP,Spo2)Timepoint: 0,1,2,3,4,5 mins,7,9,11,13,15 mins, then every 5 minutes till the end of surgery
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