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Prediction of Hypotension after Spinal Anaesthesia by using ultrasound: an Observational Study

Not Applicable
Completed
Conditions
Health Condition 1: null- ASA classification 1 and 2ndHealth Condition 2: O- Medical and Surgical
Registration Number
CTRI/2018/05/013662
Lead Sponsor
All India Institute Of Medical SciencesJodhpur
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
92
Inclusion Criteria

patients belonging to American Society of Anaesthesiologists (ASA) physical status grade I and II, aged between 18 to 75 years, scheduled to undergo surgery in spinal anaesthesia will be enrolled.

Exclusion Criteria

1.Patientâ??s refusal to participate

2.Preexisting skin infection at spinal site

3.Any spinal deformity

4.History of previous spine surgery or fracture at block level

5.Coagulation Disorder

6.Presence of chest crepitations

7.Presence of congestive cardiac failure and fixed cardiac output diseases

8.Preoperative hypotension (Mean arterial blood pressure < 50 mmHg), preoperative bradycardia (Heart rate < 45 beats/min) and preoperative dysrhythmia.

9.Preoperative uncontrolled hypertension (>= 180/110)

10.History of psychiatric illness and preexisting neurological deficits

11.Patient with obesity BMI >30 kg /m2

12.Pregnant patients with gestational age more than 12 weeks

13.Known allergy to study drugs

14.Patient with WBC count more than 11000

15.History of previous diaphragmatic surgery

16.Intraabdominal compartment syndrome or Intraabdominal hypertension (increased Intraabdominal pressure >12 mm of Hg)

17.Congenital anomaly of inferior vena cava

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The incidence of hypotension after spinal anaesthesia in IVC compressible patientsTimepoint: 30 minutes after spinal anaesthesia
Secondary Outcome Measures
NameTimeMethod
1.The relation of duration and magnitude of hypotension with collapsibility index <br/ ><br> <br/ ><br>2. Ease of visualisation of hepatic vein and IVC. <br/ ><br> <br/ ><br>3.Time spent in estimating the IVC collapsibility index.Timepoint: 30 minutes after spinal Anaesthesia
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