Post-Spinal anesthesia hypotension
Conditions
Interventions
Intervention Group:Transthoracic Echocardiography-Guided Individualized Hemodynamic Management
Control Group:routine management
Sponsors
Peking University Third Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1. Eligible participants were pregnant women aged 18 years or older. 2. Classified as ASA physical status I or II. 3. With a singleton gestation at or beyond 37 weeks. 4. Were scheduled for an elective cesarean delivery under spinal anesthesia; 5. Provided written informed consent.
Exclusion criteria
Exclusion criteria: 1. There are indications for emergency cesarean section. 2. It is known that there are severe cardiac structural or functional abnormalities (such as severe valvular disease, EF < 50%), and severe arrhythmias. 3. Severe chest deformities, skin diseases or obesity are expected to affect the image quality of TTE. 4. It is contraindicated for the study to use vasoactive drugs (such as phenylephrine. 5. There are mental or cognitive impairments that prevent them from cooperating with the research.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-spinal anestheai hypotension; | — |
Secondary
| Measure | Time frame |
|---|---|
| Apgar score;nausea and vomiting;Vasopressor drug dosage;Umbilical artery blood pH value; | — |
Countries
China
Contacts
Public ContactChengmei Shi
Peking University Third Hospital
Outcome results
None listed