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临床试验/NCT03729076
NCT03729076已完成不适用

Crystalloid Versus Colloid Rapid Co-load in Parturients Receiving Prophylactic Phenylephrine Infusion During Cesarean Delivery Under Spinal Anesthesia

Seoul National University Hospital1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2018年11月16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
100
试验地点
1
主要终点
Incidence of maternal hypotension

研究概览

简要总结

The study aims to compare crystalloid co-loading and colloid co-loading in parturients receiving prophylactic phenylephrine infusion during cesarean delivery in terms of the incidence of hypotension.

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
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

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

入选标准

  • Healthy, full-term parturients who scheduled to undergo elective cesarean delivery under spinal anesthesia.

排除标准

  • multiple pregnancy
  • gestational age < 36 weeks
  • preexisting or pregnancy-induced hypertension
  • Morbid cardiovascular impairments
  • Cerebrovascular disease
  • ⑥ Known fetal anomaly
  • ⑦ Contraindications to spinal anesthesia
  • ⑧ Any sign of onset of labor
  • ⑨ Body weight < 45 kg or body weight > 90 kg
  • ⑩ Height < 145cm or height > 180cm

结局指标

主要结局

Incidence of maternal hypotension

时间窗: during the time period from induction of spinal anesthesia until delivery

defined as: Systolic Blood Pressure (SBP) \< 80% of baseline SBP

次要结局

  • incidence of symptomatic hypotension(during the time period from induction of spinal anesthesia until delivery)
  • incidence of severe hypotension(during the time period from induction of spinal anesthesia until delivery)
  • incidence of bradycardia(during the time period from induction of spinal anesthesia until delivery)
  • incidence of Hypertension(during the time period from induction of spinal anesthesia until delivery)
  • Cumulative duration of hypotension(during the time period from induction of spinal anesthesia until delivery)
  • Onset time of hypotension(during the time period from induction of spinal anesthesia until delivery)
  • Rescue phenylephrine use(during the time period from induction of spinal anesthesia until delivery)
  • Apgar Score, 1 min, 5 min (fetal outcome)(1 min, 5 min after delivery)
  • Umbilical arterial base excess(immediately after delivery)
  • Cutaneous stellate ganglion sympathetic activity(during the time period from induction of spinal anesthesia until delivery)
  • Minimum recorded Systolic Blood Pressure (Minimum SBP)(during the time period from induction of spinal anesthesia until delivery)
  • Rescue ephedrine use(during the time period from induction of spinal anesthesia until delivery)
  • Incidence of nausea, vomiting(during the time period from induction of spinal anesthesia until delivery)
  • Incidence of dizziness, breathlessness(during the time period from induction of spinal anesthesia until delivery)
  • Minimum recorded Heart Rate (Minimum HR)(during the time period from induction of spinal anesthesia until delivery)
  • Total phenylephrine use(during the time period from induction of spinal anesthesia until delivery)
  • Atropine use(during the time period from induction of spinal anesthesia until delivery)
  • Umbilical arterial pH(immediately after delivery)
  • Umbilical arterial partial oxygen pressure (PO2)(immediately after delivery)
  • Umbilical arterial carbon dioxide partial pressure (PCO2)(immediately after delivery)

研究者

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

Jin-Tae Kim

Professor

Seoul National University Hospital

研究点 (1)

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