Leg Elevation for Prevention of Post Spinal Hypotension in Cesarean Section
- Conditions
- Effects of; Anesthesia, Spinal and Epidural, in Pregnancy
- Interventions
- Other: leg elevation
- Registration Number
- NCT03488277
- Lead Sponsor
- Mongi Slim Hospital
- Brief Summary
Prospective trial including full term parturients scheduled for a cesarean section under spinal anesthesia. patients are being randomly assigned into 2 groups:
LE group: will be positioned in 15° left tilt with leg elevation with a 30cm height pillow under the heels, this position will be hold after spinal anesthesia until fetal extraction.
Control group: will be positioned in supine with 15° left tilt. the 2 groups will receive a 10ml/kg of crystalloid co-load intravenously, and the spinal anesthesia will be performed in sitting position with the same dose of Bupivacain, morphine and sufentanil.
- Detailed Description
Prospective trial including full term parturients scheduled for a cesarean section under spinal anesthesia. patients are being randomly assigned into 2 groups:
LE group: will be positioned in 15° left tilt with leg elevation with a 30cm height pillow under the heels, this position will be hold after spinal anesthesia until fetal extraction.
Control group: will be positioned in supine with 15° left tilt. the 2 groups will receive a 10ml/kg of crystalloid co-load intravenously, and the spinal anesthesia will be performed in sitting position with the same dose of Bupivacain, morphine and sufentanil. we will record the demographic data, pre and intraoperative hemodynamic parameters, the dose of ephedrine required to treat post spinal hypotension and fetal parameters: pH and blood lactates
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 200
- full term parturients
- age> 18 Y
- scheduled of elective or urgent cesarean section under spinal anesthesia
- patients who had general anesthesia
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description LE: leg elevation group leg elevation the patients of this group will be positionned in supine with 15° left tilt and will have a leg elevation with a 30 cm pillow positionned under the heels. this position will be hold immediately after spinal anesthesia until fetal extraction
- Primary Outcome Measures
Name Time Method Incidence of post spinal hypotension during the first 30minutes after the spinal anesthesia change of systolic blood pressure from baseline\< 90 mmHg
- Secondary Outcome Measures
Name Time Method Lowest systolic blood pressure during the first 30 minutes following spinal anesthesia the lowest systolic blood pressure observed after spinal anesthesia
ephedrine consumption during the first 30 minutes following the spinal anesthesia total dose of Ephedrine received to treat post spinal hypotension
Fetal ph 30 minutes after spinal anesthesia fetal ph measured with blood gas analysis
Fetal blood lactates 30 minutes after spinal anesthesia fetal blood lactates (mmol/L) measured with blood gas analysis
Trial Locations
- Locations (1)
Mongi Slim Hospital
🇹🇳La Marsa, Tunis, Tunisia