Utilising Perfusion Index to predict fall in blood pressure in pregnant patients with Pregnancy Induced Hypertension undergoing cesarean section under spinal anesthesia

Not yet recruiting

• Conditions: Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth,

• Registration Number: CTRI/2023/08/056854
• Lead Sponsor: ESI post graduate institute of medical sciences and research new delhi

Brief Summary

Aim is to assess the correlation of perfusion index as a predictor of Post spinal hypotension in parturients with PIH undergoing cesarean section.

Total 104 patients will be enrolled for this study according to inclusion and exclusion criteria.



Study is Prospective Observational Non randomised study.



Written and informed consent will be taken.



Baseline Perfusion index,Blood pressure,Heart rate and oxygen saturation(spo2) will be measure in the pre-anaesthetic room.This will be time point A.



Parturient will be given spinal anaesthesia under all aseptic precautions with 25G quincke’s needle with  10 mg(2 ml) 0.5% (H) bupivacaine and patiets wiil be made to lie in a supine positon with 15 degrees left lateral tilt and values of perfusion index,Blood pressure,Heart rate and Oxygen saturation(spo2) will be measured at



Time point B: 1 minute after spinal anaesthesia



Time point C:2 minutes after spinal anaesthesia



Time point D:3 minutes after spinal anaesthesia



Time point E:4 minutes after spinal anaesthesia



Time point F:5 minutes after spinal anaesthesia



Time point G:7 minutes after spinal anaesthesia



Time point H:10 minutes after spinal anaesthesia



Time point I:15 minutes after spinal anaesthesia



Time point F:20 minutes after spinal anaesthesia



Primary Objective is to evaluate the predictability of perfusion index as an objective tool for post spinal hypotension in parturients with PIH undergoing cesarean section.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-09
• Last Update Posted: 2023-07-29

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Female
• Target Recruitment: 104

Inclusion Criteria

American Society of Anesthesiologists Grade 2 & 3 Parturients with PIH undergoing cesarean section under spinal anesthesia.

Exclusion Criteria

Unstable hemodynamic status parturients with severe pre eclampsia (BP >160/110) Complicated obstetric history Patients with placenta previa,gestational diabetes mellitus,Hypothyroidism,Hyperthyroidism Parturients undergoing cesarean section under general anaesthesia Multiple gestation History of neurological,psychiatric,peripheral vascular disease,cardiac disease,chronic pain disorder Parturients with nail paints.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the relation between perfusion index & blood pressure changes following spinal anaesthesia	Point A: pre-operative room | Point B: 1 minute after spinal anaesthesia | Point C: 2 minutes after spinal anaesthesia | point D: 3 minutes after spinal anaesthesia | Point E: 4 minutes after spinal anaesthesia | Point F: 5 minutes after spinal anaesthesia | Point G: 7 minutes after spinal anaesthesia | Point H: 10 minutes after spinal anaesthesia | Point I: 15 minutes after spinal anaesthesia | Point J: 20 minutes after spinal anaesthesia

Secondary Outcome Measures

Name	Time	Method
Not applicable	Not applicable

Trial Locations

Locations (1)

ESIC-PGIMSR; 🇮🇳 West, DELHI, India

ESIC-PGIMSR

🇮🇳West, DELHI, India

DrAravind Rudraraju

Principal investigator

9550434755

arvindfc007@gmail.com