Comparison of two positions (lateral and sitting ) for achievement of block of hight in spinal anaesthesia in caesarian section

Not yet recruiting

Conditions: Encounter for full-term uncomplicated delivery, (2) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery, (3) ICD-10 Condition: 1||Obstetrics,

Registration Number: CTRI/2021/11/037933

Lead Sponsor: RNT Medical College and MB hospital Udaipur

Brief Summary: The number of caesarean sections performed has increased tremendously in the recent year. Spinal anaesthesia is preferred anaesthetic technique followed as to avoid problems with general anaesthesia such as manipulation of airway, aspiration, cognitive dysfunction, and the use of polypharmacy. Regional anaesthesia is the most popular form of anaesthesia for caesarean section due to avoiding risks of general anaesthesia, for better postoperative pain relief and also for keeping the woman awake to see her baby just after birth.

AIMS AND OBJECTIVES

To compare the time to achieve T5 blockage in lateral versus sitting position during elective caesarean section under spinal anaesthesia Study design: A prospective, single-blind, randomized, observational, study..

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: Female

Target Recruitment: 204

Inclusion Criteria

This study will be carried out in pregnant patients with single term pregnancy, taken up for Caesarean Section under spinal anaesthesia for various indications like previous Caesarean Section, breech presentation, cephalopelvic disproportion, pregnancy following infertility treatment, cord around neck, non-progression of labour.

Exclusion Criteria

Patient refusal to participate in study.
Emergency indication of Caesarean Section like antepartum haemorrhage, Placenta previa, abruptio placenta, foetal distress, obstructed labour, umbilical cord prolapse, preeclampsia, gestational diabetes, essential hypertension, more than two previous LSCS, history of PPH, multiple gestation.
Patients having contraindication for subarachnoid block.
Patient having associated systemic illness (hypo/hyperthyroidism, diabetic, neuromuscular disease ischaemic/ valvular/ congenital heart disease, psychiatric, haematological disorder, SLE).
History of seizures, coma, neurological signs or symptoms (Eclampsia).
Any allergy to local anaesthetic or any drug.
Parturient with extremes of height (<150 or >170cm), with extremes of weight (BMI <20 kg/m2 or > 35kg/m2.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time to achieve T5 blockage in both group.	Upto 15 min after spinal anaesthesia

Secondary Outcome Measures

Name	Time	Method
assess the adverse effect / haemodynamic disturbances, if any.

Trial Locations

Locations (1): PANNA DHAYA GOVT HOSPITAL
🇮🇳
Udaipur, RAJASTHAN, India
PANNA DHAYA GOVT HOSPITAL
🇮🇳Udaipur, RAJASTHAN, India
Sarita kumawat
Principal investigator
09166688741
saritasureshh13@gmail.com