Health Condition 1: - Health Condition 2: E115- Type 2 diabetes mellitus with circulatory complications
Conditions
Interventions
None listed
Sponsors
JIMER intramural research fund committee
Eligibility
Inclusion criteria
Inclusion criteria: GROUP C Adults without diabetes mellitus above 18 years of age belonging to both sexes undergoing elective surgeries under spinal anesthesia Patients belonging to American society of Anesthesiologists status 1 or 2 BMI 18.5 -30 GROUP D Adults with diabetes mellitus above 18 years of age belonging to both sexes undergoing elective surgeries under spinal anesthesia BMI18.5 -30 Patients belonging to American Society of Anesthesiologists status 2 or 3
Exclusion criteria
Exclusion criteria: GROUP C Patient refusal for spinal anesthesia. Patient taking drugs affecting sympathetic and parasympathetic function Patients with other comorbidities Patient in whom more than 500ml of blood loss is anticipated Patients with coagulopathy Pregnant patients GROUP D Patient refusal for spinal anesthesia. Patient taking drugs affecting sympathetic and parasympathetic function Patients with other comorbidities other than diabetes Patient in whom more than 500ml of blood loss is anticipated Patients with coagulopathy Pregnant patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure Caval Aorta index (IVC:AO INDEX) and to compare the odds ratio between the groups for incidence of postspinal hypotensionTimepoint: In the preop holding area ultrasound will be performed and the caval aorta index will be measured. . Patient will receive spinal anasthesia.Hemodynamic parameters will be recorded every 2.5 minutes for the first 10 minutes and every 5 minutes till the end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| To measure IVC collapsibility index and to compare the odds ratio between the groups for the incidence of post spinal hypotension To compare the requirement of vasopressor between the groups Timepoint: In the preop holding area ultrasound will be performed and the ivc collapsibility index will be measured. . Patient will receive spinal anasthesia.Hemodynamic parameters will be recorded every 2.5 minutes for the first 10 minutes and every 5 minutes till the end of surgery. | — |
Countries
India
Contacts
Public ContactDrSushmitha A
Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)
Outcome results
None listed