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spinal anaeathesia for caesarean section using drug in fixed dosed or based on height and weight

Not Applicable
Completed
Conditions
Health Condition 1: null- ASA 1&2
Registration Number
CTRI/2017/04/008348
Lead Sponsor
VMMC Safdarjang Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
200
Inclusion Criteria

1.ASA status 1 & 2

2.Patients scheduled to undergo elective caesarean surgery.

3.Adult female patients with weight between 50 to 110 kg and height from 140 cm to 180 cm.

4.Singleton pregnancy

Exclusion Criteria

•Inability of the patients to understand the procedure.

•Contraindications to Anaesthetic technique like patientâ??s refusal, local infection, coagulation abnormalities, history of allergic reaction to any of the drug to be used, sepsis, shock, spinal deformities, previous spinal surgeries, neurological disturbances, cardiac failure.

• Complicated pregnancies, Pre-ecclampsia, Pregnancy Induced Hypertension.

•Patients with acute fetal distress

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1Maximum upper level of sensory block reached and time required achieving this. <br/ ><br> <br/ ><br>â?¢Maximum degree of motor block and time required to achieve this (complete motor block). <br/ ><br>â?¢Total duration of motor block (from initial onset until complete recovery). <br/ ><br>â?¢Supplemental analgesia â?? Yes/No <br/ ><br>between height and adjusted doses and fixed doses of bupivacaine <br/ ><br>Timepoint: Time of giving spinal anaesthesia0 <br/ ><br>Time for the level to reach T5TT5 <br/ ><br>Time of Skin IncisionTSI <br/ ><br>Time of Uterine IncisionTUI <br/ ><br>Time of DeliveryTD <br/ ><br>Time of Completion of SurgeryTC <br/ ><br>Time to 2 Segment RegressionTSR2 <br/ ><br>Time of First Rescue Analgesic givenTFRA <br/ ><br>Maximum level of sensory block achievedSmax <br/ ><br>Maximum level of motor block achieved (Mmax)Mmax <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
1.Hypotension .Minimum Systolic blood pressure 88mmHg in FD group, 100 in Ad group.Timepoint: 1min till 15minutes than 5 mts;2. Bradycardia . Minimum heart rate was 58 /minTimepoint: 1 min till 15 mts and than 5 mts till end of surgery;nausea: 13 %Timepoint: nil;Neonatal AssessmentTimepoint: 1and 5 min;shivering: 34%Timepoint: nil;vomiting 4%Timepoint: nil
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