Health Condition 1: O94-O9A- Other obstetric conditions, not elsewhere classified
Conditions
Interventions
Intervention1: Nil: Nil
Intervention2: Nil: Nil
Intervention3: Ultrasound guided approach: Ultrasound guided subarachnoid blocks in obese parturients observed over one year
Control Intervention1: Land
Sponsors
Dr Ashima Grace Thomas
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA II or III obese parturients (pre pregnancy BMI more than or equal to 25 kilogram per metre cubed) undergoing elective or emergency caesarean section. 2. Singleton pregnancy at term (greater than 37 weeks). 3. No contraindications to spinal anaesthesia.
Exclusion criteria
Exclusion criteria: 1. Patients with spinal deformities or previous spinal surgery. 2. Contraindications to neuraxial anaesthesia (coagulopathy, infection at puncture site, allergy to local anaesthetics, psychiatric illness). 3. Patients requiring emergency caesarean section for foetal distress.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First pass success rate and number of needle passesTimepoint: First pass success rate and number of needle passes at the time of performing subarachnoid block | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of needle puncture attemptsTimepoint: Till successful spinal achieved;Total procedure time for a successful punctureTimepoint: Till CSF backflow;Patient satisfaction scoreTimepoint: 1 hour post procedure;Incidence of complications ( PDPH, failed block, traumatic tap)Timepoint: 1 day post procedure | — |
Countries
India
Contacts
Public ContactDr Sugatha Prakash
Jubilee Mission Medical College and Research Institute
Outcome results
None listed