Prevention of Post Spinal Anaesthesia Hypotension in Lower Segment Caesarean Section using Delayed Supine Positioning: A Comparative Study
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- To assess post spinal anaesthesia hypotension in Lower Segment Caesarean Section using delayed supine positioning.
研究概览
简要总结
It is a Prospective, randomized, comparative study with the aim of assessing post spinal anaesthesia hypotension in Lower Segment Caesarean Section using delayed supine positioning.
The objectives are to observe incidence of hypotension, to observe hemodynamic changes, to ascertain total requirement of vasopressor in both groups, to assess the APGAR score of neonates at 1 and 5 minutes after birth in both groups and to identify any side effects in both groups, if any.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 35.00 Year(s)（—）
- 性别
- Female
入选标准
- •Patients who have given informed consent, ASA 1 and 2 fit patients, Singleton full-term patients posted for elective LSCS under spinal anaesthesia, hemodynamically stable patients with all investigations within normal limits,.
排除标准
- •Less than 18 yers of age, presence of foetal abnormalities, Obese patients, patients with pregnancy induced hypertensive disorders, patients with contraindications to spinal anaesthesia, patients with any previous cardiovascular, neurological, pulmonary and psychiatric disorders.
结局指标
主要结局
To assess post spinal anaesthesia hypotension in Lower Segment Caesarean Section using delayed supine positioning.
时间窗: Patients in control group will be made lie down two minutes after the administration of spinal anaesthesia and the control group will be made to lie down immediately following spinal anaesthesia and the following parameters will be observed: | Hemodynamic changes-HR, SBP, DBP, MAP, SpO2 | • Level of block-Both sensory and motor | • The requirements of total dose of vasopressor given. | • Assessment of APGAR Score of the neonates at 1 and 5 minutes after birth. | • Any untoward effects
次要结局
- To assess the effect of delayed supine positioning over post spinal anaesthesia hypotension.(Vital assessment to be done at the beginning of the surgery, followed by 2,4,6,8,10,15,20,25,30,35,40 & 45 minutes with the APGAR Score measurement of neonates at 1min & 5 mins after birth, followed by any vasopressor used & and adverse effects.)
研究者
Shruti Chandel
Dr. D.Y.Patil Medical College, Hospital and Research Centre