Perfusion Index Predicts Post-spinal Hypotension in Obese Parturients for Cesarean Section-A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- correlation between baseline perfusion index and post spinal decrease in systolic blood pressure
研究概览
简要总结
Hypotension is a common adverse effect of spinal anesthesia during caesarean section especially in obese patients.
The aim of this study is to find out the correlation between baseline PI and post spinal hypotension in obese parturient.
详细描述
Abstract Background Hypotension is a common adverse effect of spinal anesthesia during caesarean section especially in obese patients.
The aim of this study is to find out the correlation between baseline PI and post spinal hypotension in obese parturient.
Methods After approval of ethical committee and written informed consent, fifty Parturients aged between 18- 40 years, ASA I and II with term singleton pregnancies with BMI between 25 &40 admitted for cesarean section under spinal anesthesia were recruited in this prospective, observational study. The primary outcome is the correlation between baseline perfusion index and post spinal hypotension. The secondary outcome is the correlation between BMI and the incidence of hypotension after spinal anesthesia. Heart rate, blood pressure, perfusion index before and after spinal induction using Masimo device, level of sensory block, dose of ephedrine required to correct hypotension, dose of atropine required to correct bradycardia, incidence of nausea, vomiting and shivering were recorded.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Fifty parturient
- •Aged between 18- 40,
- •ASA I and II
- •With term singleton pregnancies
- •With 25 ≥ BMI≤ 40
- •Conducted for cesarean section under spinal anesthesia
排除标准
- •Emergency cases,
- •Placenta previa,
- •Preeclampsia,
- •Cardiovascular and cerebrovascular diseases,
- •Patient with contraindication for regional anesthesia
- •Patient with peripheral vascular diseases as DVT.
结局指标
主要结局
correlation between baseline perfusion index and post spinal decrease in systolic blood pressure
时间窗: 24 hours Postoperative
correlation between baseline perfusion index and post spinal decrease in systolic blood pressure
次要结局
- correlation between BMI and the incidence of post-spinal hypotension(24 hours Postoperative)
研究者
Ahmed Abdalla
Professor of Anesthesia &I.C.U and Pain Clinic, Cairo University
Cairo University