Hemodynamic Management in Women With SHS

Not Applicable

Recruiting

• Conditions: Supine Hypotensive Syndrome
• Interventions: Procedure: LiDCOrapid

• Registration Number: NCT05341362
• Lead Sponsor: China Medical University, China

Brief Summary

Supine hypotensive syndrome often occurs following spinal anesthesia for cesarean delivery.In our study we base the regulation and drug administration both on the regular monitor and on a novel monitor which reflects upon the hemodynamic changes. Our aim is to observe whether the outcome of SHS patients with anesthesia management based on hemodynamic figures differs from those based on experience.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-04-10
• Study First Submitted QC: 2022-04-16
• Study Start: 2022-04-17
• Study First Posted: 2022-04-22
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-03
• Last Update Posted: 2023-03-07
• Primary Completion: 2023-06-01
• Study Completion: 2023-06-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 60

Inclusion Criteria

• American Society of Anesthesiologists (ASA) Physical Status Classification II and had no significant cardiovascular, pulmonary, renal or endocrine disease, without contraindications to CSEA,and could be diagnosed as SHS according to the criteria.

Exclusion Criteria

• Patients undergoing emergency CD, CD under general anesthesia or patients' refusal to participate, or multiple fetations.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
LiDCOrapid Group	LiDCOrapid	In this group, the anesthesia management is conducted based on both the regular monitor and the hemodynamic figures on the LiDCOrapid.

Primary Outcome Measures

Name	Time	Method
Umbilical arterial blood gas PH	30minutes	The value is tested immediately after the blood sample is achieved after the infant is born.

Secondary Outcome Measures

Name	Time	Method
Umbilical blood gas lactate	30minutes	The value is tested immediately after the blood sample is achieved after the infant is born.
total vasopressor dosage	30 minutes	total vasopressor given during the time span between the operation began to the baby was delivered
Time span	2 hours	the period between the operation began to the baby was delivered
Discomfort Score	1day	we explored a scoring system to quantify the SHS symptom scale from 0 to 8, score high means more symptoms of SHS occurred

Trial Locations

Locations (1)

China Medical University; 🇨🇳 Shenyang, Liaoning, China