Health Condition 1: null- ASA classification 1 and 2nd Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: patients belonging to American Society of Anaesthesiologists (ASA) physical status grade I and II, aged between 18 to 75 years, scheduled to undergo surgery in spinal anaesthesia will be enrolled.
Exclusion criteria
Exclusion criteria: 1. Patientâ??s refusal to participate 2. Preexisting skin infection at spinal site 3. Any spinal deformity 4. History of previous spine surgery or fracture at block level 5. Coagulation Disorder 6. Presence of chest crepitations 7. Presence of congestive cardiac failure and fixed cardiac output diseases 8. Preoperative hypotension (Mean arterial blood pressure 9. Preoperative uncontrolled hypertension (>= 180/110) 10. History of psychiatric illness and preexisting neurological deficits 11. Patient with obesity BMI >30 kg /m2 12. Pregnant patients with gestational age more than 12 weeks 13. Known allergy to study drugs 14. Patient with WBC count more than 11000 15. History of previous diaphragmatic surgery 16. Intraabdominal compartment syndrome or Intraabdominal hypertension (increased Intraabdominal pressure >12 mm of Hg) 17. Congenital anomaly of inferior vena cava
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of hypotension after spinal anaesthesia in IVC compressible patientsTimepoint: 30 minutes after spinal anaesthesia | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.The relation of duration and magnitude of hypotension with collapsibility index 2. Ease of visualisation of hepatic vein and IVC. 3. Time spent in estimating the IVC collapsibility index.Timepoint: 30 minutes after spinal Anaesthesia | — |
Countries
India
Contacts
All India Institute Of Medical Sciences,Jodhpur