Evaluation of the Efficiency of Leg Elevation for Preventing Post Spinal Hypotension in Cesarean Section
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Effects of; Anesthesia, Spinal and Epidural, in Pregnancy
- Sponsor
- Mongi Slim Hospital
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Incidence of post spinal hypotension
- Last Updated
- 8 years ago
Overview
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
Investigators
Mhamed Sami Mebazaa
Professor head of the anesthesia and intensive care department
Mongi Slim Hospital
Eligibility Criteria
Inclusion Criteria
- •full term parturients
- •age\> 18 Y
- •scheduled of elective or urgent cesarean section under spinal anesthesia
Exclusion Criteria
- •patients who had general anesthesia
Outcomes
Primary Outcomes
Incidence of post spinal hypotension
Time Frame: during the first 30minutes after the spinal anesthesia
change of systolic blood pressure from baseline\< 90 mmHg
Secondary Outcomes
- Lowest systolic blood pressure(during the first 30 minutes following spinal anesthesia)
- ephedrine consumption(during the first 30 minutes following the spinal anesthesia)
- Fetal ph(30 minutes after spinal anesthesia)
- Fetal blood lactates(30 minutes after spinal anesthesia)