Prediction of Hypotension after Spinal Anaesthesia by using ultrasound: an Observational Study
- 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
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.
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
Name Time Method The incidence of hypotension after spinal anaesthesia in IVC compressible patientsTimepoint: 30 minutes after spinal anaesthesia
- Secondary Outcome Measures
Name Time Method 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