Neonatal Evaluation of Norepinephrine Infusion in Spinal Anesthesia for Cesarean Section
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Caesarean Section;Stillbirth
- Sponsor
- Centre Hospitalier Universitaire de Nīmes
- Enrollment
- 265
- Primary Endpoint
- lactate level
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This retrospective study aims to evaluate the fate of children born by cesarean section under spinal anesthesia with or without norepinephrine as vasopressor support for anesthesia. The main objective is to compare the initial Apgar score. The records of patients who received norepinephrine are compared to those without norepinephrine. To limit the biases of this type of study, the investigators will apply a propensity score that will include as a variable: age, ASA score, comorbidity, urgency. The patients analysed correspond to the period 2016-2017.
Investigators
Eligibility Criteria
Inclusion Criteria
- •age \> 18
- •Spinal Anesthesia for Cesarean Section
Exclusion Criteria
- •sub epidural cesarean section
- •contraindication to spinal anesthesia (allergy, severe heart disease, coagulopathy)
Outcomes
Primary Outcomes
lactate level
Time Frame: Just after the birth of the newborn baby
The primary endpoint is the Umbilical Cord Lactate levels
Secondary Outcomes
- Umbilical Cord venous PH(Just after the birth)
- maternal arterial tension during cesarean section(0, 5,10,15, 20 25, 30,35,40 minutes after spinal anesthesia)
- incidences of mother nausea and vomiting(from beginning to cesarean section end)
- use of vasopressors(from beginning to cesarean section end)
- APGAR Score(1, 5 and 10 minutes after birth)
- Umbilical Cord arterial PH(Just after the birth)