Hemodynamic Management Target on Continuous Monitoring in Cesarean Delivery-A Randomized Controlled Trial in Patients With Supine Hypotensive Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Umbilical arterial blood gas PH
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 22 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •Patients undergoing emergency CD, CD under general anesthesia or patients' refusal to participate, or multiple fetations.
研究组 & 干预措施
Blank Group
In this group, the anesthesia management is conducted according to the anesthetists' experience, based on the regular monitor.
LiDCOrapid Group
In this group, the anesthesia management is conducted based on both the regular monitor and the hemodynamic figures on the LiDCOrapid.
干预措施: LiDCOrapid (Procedure)
结局指标
主要结局
Umbilical arterial blood gas PH
时间窗: 30minutes
The value is tested immediately after the blood sample is achieved after the infant is born.
次要结局
- Umbilical blood gas lactate(30minutes)
- total vasopressor dosage(30 minutes)
- Time span(2 hours)
- Discomfort Score(1day)
研究者
Yuqing Li
Undergraduate doctor
China Medical University, China