Health Condition 1: O742- Cardiac complications of anesthesia during labor and delivery
Conditions
Interventions
Control Intervention1: Perfusion Index: Perfusion index (PI) is defined as the ratio of pulsatile blood flow to non-pulsatile blood flow in the peripheral vascular tissue, measured using a pulse oxime
Sponsors
Department of Anaesthesia
Eligibility
Inclusion criteria
Inclusion criteria: Parturients posted for cesarean section.
Exclusion criteria
Exclusion criteria: Patients with placenta previa, preeclampsia, cardiovascular or cerebrovascular disease, gestational diabetes, body mass index >=40, gestational age 41 weeks contraindications to spinal anaesthesia, those requiring additional oxytocic and/or additional surgical interventions, and those suffering from psychiatric illnesses and on treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perfusion Index more than 3.5 is associated with higher incidence of hypotension in lower segment cesarean section under spinal anaesthesia.Timepoint: Baseline Perfusion Index and Intraoperative Blood Pressure measured after spinal anaesthesia till end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic parameters between the study groups, side effects after spinal anesthesia in elective lower segment cesarean section (e.g. nausea and vomiting) and the APGAR score, fetal pH and Base Excess (BE) in neonates born to parturients of the study groups.Timepoint: Baseline and Intraoperatively | — |
Countries
India
Contacts
Public ContactAbiral Nidhi
VMMC and Safdarjung Hospital
Outcome results
None listed