Comparison of effect of waist-hip-ratio with body mass index on level of subarachnoid block in obese patients undergoing infra-umbilical surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 43
- 试验地点
- 1
- 主要终点
- 1)Maximum level of sensory block achieved.
研究概览
简要总结
In this study, we aim to understand whether the pattern of fat distribution in the body (measured using waist-to-hip ratio) or overall body weight (measured by BMI) has a greater influence on how high the effect of spinal anaesthesia spreads in obese patients undergoing lower abdominal (infra-umbilical) surgery.
Participants will undergo a routine pre-anaesthetic check-up. Their height, weight, waist and hip measurements will be taken. Spinal anaesthesia will be administered in a sitting position using a standard dose of bupivacaine and fentanyl. Monitoring will include ECG, blood pressure, and oxygen levels. The findings may help tailor anaesthesia practices in obese patients and improve safety and outcomes.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •BMI of more than 30kg/m2 Height between 150-175cms surgeries of duration less than 2.5 hours.
排除标准
- •Refusal of consent for subarachnoid block 2)Patients with bleeding and coagulation disorders 3)Pregnant patients 4)Previous spinal surgeries 5)Spinal deformities.
结局指标
主要结局
1)Maximum level of sensory block achieved.
时间窗: To be seen after induction of spinal anaesthesia till 20 minutes
次要结局
- 1)Time taken to achieve maximum sensory block level as assessed by pin prick method.1(2) Time taken to achieve maximum motor blockade as assessed by modified Bromage scale.)
研究者
Neha Kanwar
ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi