Status:

UNKNOWN

Prevention of Post-spinal Anesthesia Hypotension in Caesarean Delivery Using Delayed Supine Positioning

Lead Sponsor:

Cairo University

Conditions:

Cesarean Section

Hypotension

Eligibility:

FEMALE

18-40 years

Phase:

NA

Brief Summary

Maternal hypotension is a common complication after spinal anaesthesia for caesarean delivery. Prophylaxis against post-spinal hypotension (PSH) during caesarean delivery would prevent serious materna...

Detailed Description

Upon arrival to operating room, Monitors will be applied (electrocardiography - pulse oximetry - non-invasive blood pressure monitor). All measurements will be taken before IV line insertion and preme...

Eligibility Criteria

Inclusion

  • Full term (above 37 weeks gestation).
  • Singleton.
  • Pregnant woman ASA II scheduled for elective caesarean section aged between 18 and 35 years.

Exclusion

  • Contraindications to spinal anaesthesia.
  • Obese patients (body mass index \>35).
  • Peripartum bleeding.
  • Impaired cardiac contractility (Ejection fraction\<45%).
  • Cardiac arrhythmias (I.e. any rhythm other than normal sinus rhythm and sinus tachycardia).
  • Valvular heart lesions (I.e. moderate to severe valve lesions).
  • Pre-existing hypertension, pregnancy induced hypertensive disorders.
  • Fetal abnormalities.
  • Intraoperative blood loss over 1000 ml and failed/ high subarachnoid block.

Key Trial Info

Start Date :

March 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2021

Estimated Enrollment :

84 Patients enrolled

Trial Details

Trial ID

NCT04777123

Start Date

March 1 2021

End Date

June 1 2021

Last Update

March 2 2021

Active Locations (1)

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Cairo University

Cairo, Egypt

Prevention of Post-spinal Anesthesia Hypotension in Caesarean Delivery Using Delayed Supine Positioning | DecenTrialz