Health Condition 1: O82- Encounter for cesarean delivery without indication
Conditions
Interventions
Intervention1: Group R (Ropivacaine): under all aseptic and antiseptic precautions patient placed in sitting position subarachnoid block with 23G quincke spinal needle in L2-L3 OR L3-L4 interspace wit
Sponsors
GMERS HOSPITAL
Eligibility
Inclusion criteria
Inclusion criteria: ASA Physical status 2 and 3 Weight - 40 kg to 85 kg
Exclusion criteria
Exclusion criteria: Short stature (Ht -150 cm) Patient refusal Patient with allergy to local anesthetics drugs Pre-existing or pregnancy-induced HTN Preeclampsia cardiovascular cerebral diseases Placenta previa placenta abruption Foetal distress or foetal abnormalities Multiple gestations
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference of onset of sensory and motor block of intrathecal 1.8 ml hyperbaric ropivacaine(0.75%) verse 1.8 ml hyperbaric levobupivacaine(0.5%) with 2 mg nalbuphine as an adjuvantTimepoint: Difference of onset of sensory and motor block of intrathecal 1.8 ml hyperbaric ropivacaine(0.75%) verse 1.8 ml hyperbaric levobupivacaine(0.5%) with 2 mg nalbuphine as an adjuvant | — |
Secondary
| Measure | Time frame |
|---|---|
| pulse,mean arterial pressure,oxygen saturation Duration of post-operative analgesia complication(nausea,vomiting, bradycardia,hypotension,shivering Timepoint: Baseline hemodynamic parameters (before spinal anesthesia) every 2 min fir 1st 10 min after intrathecal injection From time of intrathecal drug administration to 1st request for rescue analgesia VAS more than 4 advers effects assessed intraoperatively and 24 hrs postoperatively | — |
Countries
India
Contacts
Public ContactVishal shrimali
GMERS MEDICAL COLLEGE GOTRI VADODARA
Outcome results
None listed