Comparison of two vascular ultrasound neck techniques for early prediction of fall in blood pressure after spinal anaesthesia.

Not yet recruiting

• Conditions: External causes of morbidity, (2) ICD-10 Condition: S00-T88||Injury, poisoning and certain other consequences of external causes, ,

• Registration Number: CTRI/2023/03/051126
• Lead Sponsor: Dayanad Medical College and Hospital

Brief Summary

Hypotension after spinal anaesthesia is one of the commonestcomplications that occur due to sympatholysis. Intraopertive arterialhypotension has been linked to an increase in patient morbidity and mortality.In few studies the Internal Jugular Vein Collapsibility Index has shown to helpin prediction of hypotension after spinal anaesthesia.  A prospectiveobservational study will be conducted on 50 adult patients of ASA I, II and IIIscheduled to undergo elective surgery under spinal anaesthesia after taking awritten informed consent. The Common Carotid Artery Peak Systolic VelocityVariation will be compared with Internal Jugular Vein Collapsibility Index asmethod for prediction of post spinal hypotension. After giving spinalanaesthesia using a standard protocol, monitoring of heart rate, systolic,diastolic and mean blood pressure will be done upto 30 minutes to compareincidence and severity of hypotension.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-03-27
• Study Start: 2023-10-04

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

1. Patients age above 18 years posted for elective surgery under spinal anaesthesia 2) American Society of Anaesthesiologist Class I, II, III.

Exclusion Criteria

1. Refusal for Consent for study by the patient 2) Presence of any wound/dressing/swelling/structural abnormality in neck 3) Infection at site of Spinal Injection 4) Thrombocytopenia and coagulopathies and patients on current anticoagulant/anti-platlet therapy 5) Pregnant Females 6) Pre-existing severe cardiac, renal or liver disase.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To study the predictive value of internal jugular vein collapsibility index and common carotid artery peak systolic variation in prediction of post spinal hypotension	Patients Heart rate,non invasive blood pressure,oxygen saturation will be monitored for every 2 minutes for first 30 minutes post spinal anaesthesia

Secondary Outcome Measures

Name	Time	Method
To compare internal jugular vein collapsibility index and common carotid artery peak systolic variation for prediction of severity of hypotension	Patients Heart rate, non invasive blood pressure, oxygen saturation will be monitored for every 2 minutes for first 30 minutes post spinal anaesthesia

Trial Locations

Locations (1)

Dayanad Medical College and Hospital; 🇮🇳 Ludhiana, PUNJAB, India

Dayanad Medical College and Hospital

🇮🇳Ludhiana, PUNJAB, India

Dr Suneet Kathuria

Principal investigator

9814007622

suneetkathuria@hotmail.com