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A study to evaluate the effect of ondansetron on blood pressure in pregnant females undergoing caesarean delivery under spinal anaesthesia

Not Applicable
Completed
Conditions
Health Condition 1: null- Pregnancy
Registration Number
CTRI/2018/03/012692
Lead Sponsor
Department of Anaesthesiology and Critical Care
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
240
Inclusion Criteria

full term parturients, belonging to American Society of Anesthesiologists (ASA) physical status I and II, having singleton pregnancy undergoing caesarean section with pfannenstiel incision under spinal anaesthesia.

Exclusion Criteria

Patients having:

1. Any contraindication for spinal anaesthesia (patient refusal, unstable haemodynamics and coagulation abnormality).

2. Significant obstetric diseases such as pregnancy induced hypertension (PIH) or preeclampsia.

3. Known risk factors for post partum haemorrhage (PPH).

4. History of hypersensitivity to ondansetron or local anaesthetic agent.

5. Cardiovascular or cerebrovascular disease.

6. Patients receiving selective serotonin reuptake inhibitors (SSRI) or serotonin related migraine medications.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Evaluate and compare the effect of three different doses of prophylactic intravenous ondansetron (4, 6 and 8 mg) with placebo on haemodynamic parameters (HR, SBP, DBP, MAP, SPo2) in parturients undergoing caesarean section under spinal anaesthesia.Timepoint: Hypotension, defined as fall in systolic blood pressure (SBP) more than 20 % of the baseline, and Bradycardia, defined as HR less than 50.bpm
Secondary Outcome Measures
NameTimeMethod
To evaluate the effect of different doses of ondansetron compared with placebo on need of ephedrine ,atropine and adverse effects (Nausea, Vomiting, Shivering)Timepoint: Hypotension, defined as fall in systolic blood pressure (SBP) more than 20 % of the baseline, was treated with boluses of 6 mg intravenous ephedrine. Bradycardia, defined as HR less than 50 bpm, was treated with boluses of 0.6 mg intravenous atropine.
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