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The Effect of Intraoperative Hemodynamic Changes on the Development of Postspinal Headache in Patients undergoing Cesarean Section with Spinal Anesthesia

The Relationship Between Postspinal Headache and Intraoperative Hemodynamic Changes After Cesarean Section Under Spinal Anesthesia

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12624000523505
Enrollment
400
Registered
2024-04-26
Start date
2024-05-20
Completion date
2024-06-24
Last updated
2024-05-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Hemodynamic changes that may occur during the operation in spinal anesthesia may be thought to impair cerebral blood circulation. In addition, the effects and side effects of drugs used during the operation may also affect cerebral blood circulation. In cesarean section operations performed under spinal anesthesia, conditions that change cerebral blood circulation may be thought to cause postoperative headache.

Interventions

Patients will undergo cesarean section under spinal anesthesia.Spinal anesthesia will be administered in sitting position under sterile conditions.25 G quincke needle will be preferred as spinal needle.12 mg bupivacaine heavy will be used as local anesthetic. Surgery will start when the anesthesia level is dermatome T4. During this time, the patient's routine monitoring will be recorded. blood pressure measurement will be before and after anesthesia and every 5 minutes. Any complications that ma

Patients will undergo cesarean section under spinal anesthesia.Spinal anesthesia will be administered in sitting position under sterile conditions.25 G quincke needle will be preferred as spinal needle.12 mg bupivacaine heavy will be used as local anesthetic. Surgery will start when the anesthesia level is dermatome T4. During this time, the patient's routine monitoring will be recorded. blood pressure measurement will be before and after anesthesia and every 5 minutes. Any complications that may occur during the operation (nausea, vomiting, headache, chest pain, etc.) and medical drugs administered will be recorded. Patients will be followed up for complications for 1 week postoperatively.

Sponsors

Serra Topal-Bursa City Hospital
Lead SponsorIndividual

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

Patients undergoing cesarean section under spinal anesthesia. Aged 18-45 years with American Society of Anesthesiologist (ASA) physical classification score between ASA II- ASAIII

Exclusion criteria

Patients with heart failure, neurological disorders, chronic headache, a condition that prevents the application of spinal anesthesia, or patients with inadequate block after spinal anesthesia will not be accepted into the study.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026