Non-invasive Cardiac Output Monitoring in Obstetric Patients
- Conditions
- Anesthesia; Adverse Effect, Spinal and EpiduralComplications; Cesarean Section
- Registration Number
- NCT01516697
- Lead Sponsor
- Massachusetts General Hospital
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- Female
- Target Recruitment
- Not specified
- age 18-45;
- receiving spinal anesthesia or combined spinal and epidural anesthesia to undergo cesarean section
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Maximum percentage changes in mean blood pressure after spinal anesthesia baseline before spinal anesthesia and up to 20 minutes after spinal anesthesia
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Massachusetts General Hospital
🇺🇸Boston, Massachusetts, United States
Massachusetts General Hospital🇺🇸Boston, Massachusetts, United States