Comparison of inferior vena cava collapsibility index and internal jugular vein collapsibility index for prediction of hypotension after spinal anaesthesia.
- Conditions
- Medical and Surgical,
- Registration Number
- CTRI/2021/10/037304
- Lead Sponsor
- Dayanand Medical College and Hospital Ludhiana
- Brief Summary
Inferior vena cava and internal jugular vein collapsibility index are increasingly used as non invasive tools to predict hypovolemia in emergency and critical care settings. Hypotension is a common intraoperative complication after spinal anaesthesia, as a result of sympathetic blockade. Successful prediction of post spinal hypotension can help in adoption of appropriate preventive and treatment measures to minimise peri operative morbidity. Our aim is to compare inferior vena cava and internal jugular vein collapsibility index to predict hypotension after spinal anaesthesia. A prospective observational study will be conducted on 50 adult patients of ASA I, II and III undergoing surgery under spinal anaesthesia. After giving spinal anaesthesia using a standard protocol, monitoring of heart rate, systolic, diastolic and mean blood pressure will be done upto 30 minutes to compare incidence and severity of hypotension. The inferior vena cava collapsibility index and internal jugular vein collapsibility index will be compared as a tool for prediction of post spinal hypotension.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 50
- • Patients > 18 years of age.
- • Patients undergoing surgery under spinal anaesthesia.
- • ASA I, II, III patients.
• Consent refusal by the patient for study • Infection at the site of spinal injection • Patients with severe hypovolemia or haemorrhagic shock • Pre-existing severe neurological, cardiac, renal or liver disease • Thrombocytopenia and Coagulopathies • Patient currently taking anti-coagulant/anti-platelet therapy • Spine injury.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The study will compare the efficacy of inferior vena cava and internal jugular vein collapsibility index in prediction of hypotension in a patient undergoing spinal anaesthesia. The inferior vena cava and internal jugular vein collapsibility index will be assessed after shifting the patient to OT table and baseline values of HR, SpO2, systolic, diastolic and mean blood pressure will be recorded. After giving spinal HR and BP will be measured every 1 minute for first ten minutes and every 2 minutes thereafter for next 20 minutes. The outcome will be assessed after every 8 weeks
- Secondary Outcome Measures
Name Time Method To compare IJV collapsibility index at 0áµ’ and 30áµ’ head elevated position in prediction of post spinal hypotension. The internal jugular vein collapsibility index will be assessed in supine position and at 30áµ’ head up position before giving spinal anaesthesia and baseline values of HR, SpO2, systolic, diastolic and mean blood pressure will be recorded. After giving spinal HR and BP will be measured every 1 minute for first ten minutes and every 2 minutes thereafter for next 20 minutes. The outcome will be assessed every 8 weeks
Trial Locations
- Locations (1)
Dayanand Medical College and Hospital
🇮🇳Ludhiana, PUNJAB, India
Dayanand Medical College and Hospital🇮🇳Ludhiana, PUNJAB, IndiaDr Suneet Kant KathuriaPrincipal investigator9814007622suneetkathuria@hotmail.com