Perfusion index as predictor of hypotension following spinal anaesthesia in patients undergoing caesarean section for use of prophylactic phenylephrine.
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Divya
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Perfusion index, SpO2 and heart rate
Overview
Brief Summary
This study is being conducted to assess and confirm the usefulness of perfusion index as a
predictor of spinal hypotension in parturients undergoing lower segment caesarean section.
Furthermore, by measuring PI preoperatively (value > 3.5) we can define patients at risk of
developing post spinal hypotension and guide the use of prophylactic phenylephrine infusion
in such patients. We also aim to study a control group in which perfusion index shall be used
to determine the need of bolus rescue doses of phenylephrine and this can simultaneously
determine the usefulness of either treatment methodology.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 20.00 Year(s) to 40.00 Year(s) (—)
- Sex
- Female
Inclusion Criteria
- •ASA GRADE 2 ,3 pregnant female undergoing lscs elective and emergency surgery.
Exclusion Criteria
- •ASA grade 4 and above pregnant female undergoing lscs and with haemoglobin less than 4.
Outcomes
Primary Outcomes
Perfusion index, SpO2 and heart rate
Time Frame: Perfusion index, SpO2 and heart rate will be measured every 1 min and bp every 3 minutes till delivery of placenta .
the sensory level shall be assessed and thereafter the incidence of hypotension, need for vasopressors and the number of episodes of bradycardia will be recorded.
Time Frame: Perfusion index, SpO2 and heart rate will be measured every 1 min and bp every 3 minutes till delivery of placenta .
Secondary Outcomes
- APGAR score of the baby(at 0 and 1 minute)
Investigators
Divya
Sgt medical college and research institute