Health Condition 1: O746- Other complications of spinal andepidural anesthesia during labor and delivery
Conditions
Interventions
Intervention1: Continuous phenylephrine infusion following spinal: Continuous phenylephrine infusion will be started immediately following spinal anesthesia
Control Intervention1: conventional-mephent
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: Pregnant WOMEN ABOVE 18 years of age of physical status ASA I&II scheduled for cesarean delivery under spinal anaesthesia.
Exclusion criteria
Exclusion criteria: 1.Patients presenting with fever or shivering 2.Patients with hypertensive disorders of prgenancy or cardiac diseases 3.Patients with antepartum haemorrhage 4.Obstetric or maternal condition & comorbidities which may require spinal drug administration different from the study protocol(eg.short stuture,expected longer duration of surgery due to uterine abnormalities,etc.) 5.known allergy to drugs being used 6.Patients refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the incidence of shivering in the patients with and without phenylephrine infusionTimepoint: Incidence of shivering will be noted from starting of spinal to 30inutes of post operative period | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To observe temperature changes from before administration of spinal to end-operative period in same group and both the groups.Timepoint: Baseline core and peripheral temperature in degree celsius will be measured,then every 3 minutes for first 15 minutes ,then every ten minutes till end operative period.;Any episodes of hypotension in both the groups.Timepoint: Systolic blood presssure below 90 mm of Hg or mean arterial blood pressure below 20% from baseline will be noted in both the groups.;The number of patients receiving Inj.Pethidine as rescue for shivering in both the groups.Timepoint: the number of patients received injection pethidine a s a rescue drug for shivering in the study time period will be noted.;Incidence of hypertension and bradycardia in both the groups.Timepoint: Baseline blood pressure in millimeters of mercury and heart rate in beats per minute will be noted ,then every 3 minutes for first 15 minutes ,then every ten minutes.mean Blood pressure more than 20 % of baseline will be taken as hypertension.heart rate less than 60 will be taken as bradycardia. | — |
Countries
India
Contacts
Public ContactDr Sandhiya P
Jawaharlal Institute of Postgraduate Medical Education and Research,Dhanvantri nagar,Puducherry
Outcome results
None listed