Using Thoracic Electrical Bioimpedance to Measure Stroke Volume and Cardiac Output in Patients Under Spinal Anesthesia for Cesarean Section
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Complications; Cesarean Section
- Sponsor
- Massachusetts General Hospital
- Locations
- 1
- Primary Endpoint
- Maximum percentage changes in mean blood pressure after spinal anesthesia
- Status
- Withdrawn
- Last Updated
- 9 years ago
Overview
Brief Summary
The investigators hypothesize that continuously measuring stroke volume (SV) and cardiac output (CO) will 1) reveal hemodynamic instability in a timely manner and alert the physician promptly, 2) provide information for the physician to make the differential diagnosis as to whether the hemodynamic instability was due to vasodilatation or reduction of venous blood return, and 3) lead to appropriate and prompt treatment to improve patient outcome.
-determine the SV and CO and their kinetic change using ICON® to establish a hemodynamic profile of the patient under spinal anesthesia for cesarean section. To determine if using instantaneous measurements of SV and CO to guide patient management improves hemodynamic stability.
Investigators
Yandong Jiang
Assistant professor
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •age 18-45;
- •receiving spinal anesthesia or combined spinal and epidural anesthesia to undergo cesarean section
Exclusion Criteria
- •Patients who have major cardiovascular disease,preexisting of hypertension or gestational hypertension, preeclampsia and body mass index greater than 35kg/m2;
- •Patients who have skin lesion at the place where the electrode is supposed to be applied;
- •Emergency cesarean section patients.
Outcomes
Primary Outcomes
Maximum percentage changes in mean blood pressure after spinal anesthesia
Time Frame: baseline before spinal anesthesia and up to 20 minutes after spinal anesthesia