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Maternal hypotension during elective caesarean delivery under various spinal anaesthesia regimens

Phase 4
Recruiting
Conditions
maternal hypotension during elective caesarean delivery under spinal anaesthesia
Maternal nausea and vomiting
Maternal dizziness
Maternal unconsciousness
Maternal pulmonary aspiration
Maternal arrythmias
Fetal acidosis
Anaesthesiology - Anaesthetics
Reproductive Health and Childbirth - Childbirth and postnatal care
Registration Number
ACTRN12616000884404
Lead Sponsor
niversity Hospital Gregorio Maranon
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
280
Inclusion Criteria

American Society of Anaesthesiologists class I women scheduled for lower segment caesarean delivery under spinal anesthesia enrolled during anesthesia consultation or early in the third trimester.
Written informed consent must be obtained from all patients to participate in this study.

Exclusion Criteria

Exclusion criteria included refusal to participate, contraindication to spinal anaesthesia, age less than 20 years or greater than 45 years, obesity (body mass index (BMI) at term greater than 30 kg/m2), any ASA physical status not equal to 1, previous fluid therapy and history of allergy to or side effects from ondansetron or phenylephrine.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome, hypotension, is defined in this study as a systolic blood pressure <75% of baseline, using the criteria outlined in the Cochrane review of hypotension in obstetrics.<br>Systolic blood pressure will be assessed using electronic noninvasive blood pressure monitor with readings displayed on the monitoring screen[Systolic blood pressure will be recorded before administration of the study drug and the at 2 min intervals for 15 min and 5 min intervals for a further 30 min after intrathecal injection, as well as at the end of surgery.<br><br>]
Secondary Outcome Measures
NameTimeMethod
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