Health Condition 1: K40-K46- Hernia
Conditions
Interventions
Intervention1: Ultrasonographic Evaluation of Inferior Vena Cava Collapsibility Index: All the patients will be laid supine in the pre-operative ward. No pre-loading fluid will be done to the patients
Sponsors
DEPARTMENT OF ANAESTHESIOLOGY, GOVERNMENT MEDICAL COLLEGE, BARODA, VADODARA, GUJARAT
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 18-60 years, ASA physical status I-II Sensory blockade below T6 Scheduled for elective and emergency Lower Abdominal Surgeries under spinal anaesthesia
Exclusion criteria
Exclusion criteria: Patient refusal. Patients with absolute and relative contraindications to spinal anaesthesia like local skin infection, Vertebral column abnormalities, bleeding disorders, cardiopulmonary disease, neuropathies Patients with hypertension, patients with baseline systolic blood pressure less than 90 mmHg or mean arterial BP less than 60 mmHg, taking angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. Patients with BMI more than 30 If the level of sensory blockade was found to be T6 and above, we excluded the patient from the study. Patients posted for unilateral spinal Anaesthesia. Pregnant women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess the incidence of hypotension in IVCCI grp and CAl groupTimepoint: 45 min | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the need of fluid intervention based on USG findings pre spinal in both IVCCI & CAI GroupsTimepoint: 15 min;Evaluate whether USG based parameters can guide pre anaesthetic fluid optimizationTimepoint: 15 min;Need of vasopressor even after fluid optimization in both IVCCI & CAI groupsTimepoint: 45 min | — |
Countries
India
Contacts
Public ContactDr Apeksha Patwa
GOVERNMENT MEDICAL COLLEGE, BARODA
Outcome results
None listed