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Comparison of fluid administration guided by ultrasound of neck vessels versus routine fluid administration for prevention of low blood pressure following spinal anaesthesia in pregnant patient for caesarean section.

Comparative evaluation of Internal Jugular Vein Collapsibility Index guided versus conventional crystalloid administration on post spinal hypotension in parturients undergoing caesarean section. - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/07/055498
Enrollment
70
Registered
2023-07-21
Start date
Unknown
Completion date
Unknown
Last updated
2023-07-25

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

Conditions

Health Condition 1: O00-O9A- Pregnancy, childbirth and the puerperium

Interventions

Intervention1: Intravenous fluid administration before spinal anaesthesia , based on Internal jugular vein collapsibility index.: Before administration of spinal anaesthesia, Ultrasonographic assessme

Sponsors

Maulana Azad Medical College and Lok Nayak Hospital.
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients of American Society of Anesthesiologists(ASA) Physical status 2. 2. Term, singleton pregnancy 3. Height of the patient ( 150- 170) cms.

Exclusion criteria

Exclusion criteria: 1. Absolute contraindications for spinal anaesthesia -localized sepsis,deranged coagulation profile,severe hypovolemia, severe aortic stenosis, severe mitral stenosis. 2. Relative contraindications for spinal anaesthesia- pre existing neurological deficits, severe spinal deformity. 3. Significant hepatic, renal or cardiovascular disease.

Design outcomes

Primary

MeasureTime frame
To evaluate the incidence of post spinal hypotensionTimepoint: BP measurement will be done every 2 minutes for the first 15 minutes after spinal anaesthesia followed by every 5 minutes till the end of surgery to assess hypotension

Secondary

MeasureTime frame
1. Amount of crystalloid administered before spinal block. 2.Number of episodes of hypotension 3.Total requirement & dose of vasopressor. 4. Total amount of fluid administered after spinal block till cord clamping. 5. APGAR score of the baby at 1 minute & 5 minutes. Timepoint: 1.From iv cannulation to administration of spinal block 2. BP measurement will be done every 2 minutes for the first 15 minutes followed by every 5 minutes till end of surgery to estimate number of times hypotension occurs after spinal block 3. From administration of spinal block till completion of surgery 4. Time between administration of spinal block & cord clamping. 5.At 1 minute & 5 minutes after delivery of baby.

Countries

India

Contacts

Public ContactDr Anurag Singh

Maulana Azad Medical College

munisha.agarwal@gmail.com9968604216

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026