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Minimum effective volume of crystalloid to prevent spinal induced hypotension during elective cesarean delivery: An up-down sequential allocation desig

Phase 2
Conditions
Healthy pregnancy patients
Pregnancy Coload spinal anesthesia hypotension
Registration Number
TCTR20201223006
Lead Sponsor
Faculty of medicine Ramathibodi hospital, Mahidol university
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending (Not yet recruiting)
Sex
Female
Target Recruitment
100
Inclusion Criteria

Singleton term pregnancy
Elective cesarean delivery
American Society of Anesthesiology classification I-II

Exclusion Criteria

History of hypertensive disorder
Gestational age less than 37 weeks
History of cardiovascular disease
History of morbid obesity (Pre-pregnancy BMI > 35 kg/m2)
Height less than 150 cm or more than 190 cm
Inadequate or failed spinal anesthesia
High or total spinal anesthesia

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
volume of crystalloid to prevent spinal hypotension every 2.5 minute until 20 minute after spinal anesthesia milliliter of crystalloid co-loading at time of spinal anesthesia
Secondary Outcome Measures
NameTimeMethod
Cardiac output before, after spinal anesthesia every 2.5 min until 20 minute after spinal block bioimpedance cardiac output measurement,Vassopressor usage end of surgery Total dose of vassopressor after surgery,Baby outcomes after baby delivery 1 and 5 minute apgar score, umbilical artery and venous cord blood gases
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