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临床试验/NCT04752904
NCT04752904已完成不适用

Noninvasive Continuous Blood Pressure Monitoring for Preventing Post-spinal Hypotension During Cesarean Delivery: A Randomized Controlled Trial

Seoul National University Hospital2 个研究点 分布在 1 个国家目标入组 154 人开始时间: 2021年4月27日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
154
试验地点
2
主要终点
Incidence of hypotension by individualized methods

研究概览

简要总结

Noninvasive continuous blood pressure monitoring for preventing post-spinal hypotension during cesarean delivery: A randomized controlled trial

详细描述

The aim of this study was to find out whether the incidence of hypotension during surgery can be reduced in the case of non-invasive, continuous blood pressure monitoring using the ClearSight System in patients undergoing cesarean section under spinal anesthesia, compared to the case of using conventional noninvasive blood pressure monitoring

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
19 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Adult mothers who are pregnant with single fetuses over 35 weeks gestational age undergoing planned cesarean delivery under spinal anesthesia

排除标准

  • Multiple fetal pregnancy
  • Preexisting hypertension or pregnancy-induced hypertension
  • Underlying heart disease
  • Underlying cerebrovascular disease
  • Known fetal anomaly
  • Contraindicated in spinal anesthesia
  • Any sign of onset of labor
  • Body weight <45 kg or body weight> 90 kg
  • Height <145cm or height> 180cm
  • All other cases in which researchers determine to be inappropriate for this clinical trial

结局指标

主要结局

Incidence of hypotension by individualized methods

时间窗: From spinal anesthesia to delivery

Hypotension was defined as: SBP\<80% of baseline SBP

次要结局

  • Minimum heart rate(From spinal anesthesia to delivery)
  • Incidence of intraoperative severe hypotension(From spinal anesthesia to delivery)
  • Number of hypotensive episodes(From spinal anesthesia to delivery)
  • Incidence of intraoperative symptomatic hypotension(From spinal anesthesia to delivery)
  • Time-weighted average SBP<80% of baseline SBP(From spinal anesthesia to delivery)
  • Incidence of nausea, vomiting, dizziness, breathlessness(From spinal anesthesia to delivery)
  • Cumulative duration of hypotension(From spinal anesthesia to delivery)
  • Onset time of hypotension(From spinal anesthesia to delivery)
  • Incidence of bradycardia(From spinal anesthesia to delivery)
  • Apgar Score(at 1 minute after delivery and 5 minutes after delivery)
  • Umbilical arterial blood(within 10 minutes after delivery)
  • Umbilical arterial pH(within 10 minutes after delivery)
  • Incidence of hypotension by standard methods(From spinal anesthesia to delivery)
  • Time-weighted average MAP <65mmHg(From spinal anesthesia to delivery)
  • Incidence of intraoperative Hypertension(From spinal anesthesia to delivery)
  • Incidence of atropine use(From spinal anesthesia to delivery)
  • Cardiac output, stroke volume(From spinal anesthesia to delivery)
  • Maximum, Minimum recorded SBP, DBP, MBP(From spinal anesthesia to delivery)
  • Cumulative consumptions of vasopressors(From spinal anesthesia to delivery)
  • The analysis of the differences between the test method (ClearSight) and reference method(From spinal anesthesia to delivery)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Sun-Kyung Park

Professor

Seoul National University Hospital

研究点 (2)

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