MedPath

The Effect of Reverse Trendelenburg Position on Shoulder Tip Pain in Patients Undergoing Cesarean Section : A Randomized Controlled Trial

Phase 3
Conditions
Intraoperative shoulder tip pain in patient undergoing cesarean section under spinal anesthesia
shoulder pain, shoulder tip pain, cesarean section, reverse Trendelenburg position
Registration Number
TCTR20211215007
Lead Sponsor
Department of Anesthesiology, Faculty of Medicine Ramathibodi hospital, Mahidol university
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
nknown
Sex
Female
Target Recruitment
222
Inclusion Criteria

1.Cesarean section under spinal anesthesia
2.ASA status 2-3
3.Singleton GA more than 37 weeks
4.Age 18 years or more
5.Informed consent

Exclusion Criteria

1.Contraindication for spinal anesthesia
2.Emergency c/s due to fetal distress or non-reassuring fetal status
3.Chronic pain or recent trauma at shoulder less than 1 week
4.Pregnancy with placenta pathology
5.Pregnancy with myoma uteri or adenomyosis
6.Pregnancy with polyhydramnios, oligohydramnios, anhydramnios
7.History of preoperative thick meconium
8.Withdrawal of consent
9. Operation time more than 2 hours

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Shoulder tip pain Intraoperative period patients report if there is shoulder tip pain or not
Secondary Outcome Measures
NameTimeMethod
blood pressure Intraoperative period non invasive blood pressure monitoring,blood loss Intraoperative period estimate blood loss from anesthetic record,patient's satisfaction after end of operation patient report satisfaction from one(least satisfaction) to ten(most satisfaction) ,surgeon's satisfaction after end of operation surgeon report satisfaction from one(least satisfaction) to ten(most satisfaction),Time from incision to delivery Intraoperative period anesthesiologist record time from incision to delivery
© Copyright 2025. All Rights Reserved by MedPath