Health Condition 1: - Health Condition 2: I10- Essential (primary) hypertension Health Condition 3: O- Medical and Surgical
Conditions
Interventions
Intervention1: Hemodynamic response to continuation of angiotensin receptor blocking agents in patients with hypertension undergoing surgery under spinal anaesthesia.: In Group A, ARBs will be continu
Sponsors
Dayanand Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged more than 30 years of either gender. ASA-II and III, diagnosed with essential hypertension and on regular therapy with ARB for at least 1 month as monotherapy or in combination with other antihypertensive agent. Patients scheduled for elective surgeries under spinal anaesthesia.
Exclusion criteria
Exclusion criteria: 1. Refusal for consent. 2. Any contraindication for SAB 3. Emergency surgeries. 4. Uncontrolled hypertension and non-compliance towards medication. 5. Patients undergoing surgeries under general anaesthesia. 5. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the hemodynamic response in terms of incidence of post spinal hypotension and bradycardia in hypertensive patients scheduled for surgery under spinal anaesthesia who will be continuing or discontinuing ARB on the morning of surgery.Timepoint: Hemodynamic parameters i.e. NIBP and HR will be recorded every 2 min for the first 10 min, every 5 min till 60 minutes after giving spinal anaesthesia and then every 10 mins till the end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the severity of hypotension and total usage of vasopressor medication in two groups.Timepoint: Till the duration of surgery. | — |
Countries
India
Contacts
Public ContactDr Navpreet Kaur
Dayanand Medical College and Hospital
Outcome results
None listed