Comparison of fluid administration guided by ultrasound of neck vessels versus routine fluid administration for prevention of low blood pressure following spinal anaesthesia in pregnant patient for caesarean section.
Not Applicable
- Conditions
- Health Condition 1: O00-O9A- Pregnancy, childbirth and the puerperium
- Registration Number
- CTRI/2023/07/055498
- Lead Sponsor
- Maulana Azad Medical College and Lok Nayak Hospital.
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
1. Patients of American Society of Anesthesiologists(ASA) Physical status 2.
2. Term, singleton pregnancy
3. Height of the patient ( 150- 170) cms.
Exclusion Criteria
1.
Absolute contraindications for spinal anaesthesia -localized sepsis,deranged coagulation profile,severe hypovolemia, severe aortic stenosis, severe mitral stenosis.
2. Relative contraindications for spinal anaesthesia- pre existing neurological deficits, severe spinal deformity.
3. Significant hepatic, renal or cardiovascular disease.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To evaluate the incidence of post spinal hypotensionTimepoint: BP measurement will be done every 2 minutes for the first 15 minutes after spinal anaesthesia followed by every 5 minutes till the end of surgery to assess hypotension
- Secondary Outcome Measures
Name Time Method 1. Amount of crystalloid administered before spinal block. <br/ ><br>2.Number of episodes of hypotension <br/ ><br>3.Total requirement & dose of vasopressor. <br/ ><br>4. Total amount of fluid administered after spinal block till cord clamping. <br/ ><br>5. APGAR score of the baby at 1 minute & 5 minutes. <br/ ><br>Timepoint: 1.From iv cannulation to administration of spinal block <br/ ><br>2. BP measurement will be done every 2 minutes for the first 15 minutes followed by every 5 minutes till end of surgery to estimate number of times hypotension occurs after spinal block <br/ ><br>3. From administration of spinal block till completion of surgery <br/ ><br>4. Time between administration of spinal block & cord clamping. <br/ ><br>5.At 1 minute & 5 minutes after delivery of baby.