Effect of Ondansetron - a preventer of nausea and vomiting on change in blood pressure and heart rate after spinal anesthesia in patients undergoing cesarean sectio
- Conditions
- Health Condition 1: null- Pregnant patients for cesarean section under subarachnoid block
- Registration Number
- CTRI/2017/10/009964
- Lead Sponsor
- MS UCMS and GTB Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 90
Full term pregnant patients belonging to ASA Grade I undergoing cesarean section under subarachnoid block, having systolic blood pressure (SBP) more than 120 mm of Hg and with height of >140 cm and <170 cm.
Patients with history of Hypersensitivity to ondansetron, local anesthetic agents or colloids, Hypertensive disorders of pregnancy like pre-eclampsia, eclampsia, Cardiovascular diseases like MS, MR, AS; ischemic heart disease, hypertension of any cause will be excluded.
Patients taking anti-emetics like metoclopramide and having ante-partum hemmorhage, multiple gestation, hydramnios will not be included.Patients with endocrine, renal or hepatic diseases, with fetal distress and those who refused to participate will be excluded.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Frequency of hypotension and bradycardia in three groupsTimepoint: Heart rate, systolic blood pressure, diastolic blood pressure, mean blood pressure and SpO2 were recorded Pre-operatively, before subarachnoid injection, After subarachnoid injection every 2 min for 20 min and then every 5 min till the end of surgery and every 30 min for 3 hrs postoperatively. <br/ ><br>
- Secondary Outcome Measures
Name Time Method Ephedrine required to maintain SBP, Atropine required to maintain HR,Frequency of nausea and vomiting and Neonatal APGAR score <br/ ><br>Timepoint: Ephedrine when SBP less than 100 mm of Hg, Atropine when HR less than 60 bpm, nausea and vomiting perioperatively and neonatal APGAR at 1,3,5 and 10 min.