Obstetric Anesthesia
Conditions
Interventions
Control group:The parturient was brought into the operating room. Examination confirmed that the epidural catheter was intact and not dislodged. Standard ECG monitoring was applied. An alkalinized lid
Trial group:The parturient was brought into the operating room. Examination confirmed that the epidural catheter was in place without dislodgement. Standard ECG monitoring was applied. An alkalinized
Sponsors
Nanhai District Maternal and Child Health Hospital of Foshan City (Nanhai Maternity Children's Hospital, Guangzhou University of Traditional Chinese Medicine)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Parturients requiring immediate category 1 cesarean section due to obstetric emergencies, who still experienced pain at the skin incision test before surgery; 2. Gestational age >=37 weeks; 3. Estimated fetal weight >=2.5 kg; 4. Successful placement of an epidural catheter at the L2–3 interspace during labor without technical difficulty; 5. Satisfactory labor analgesia (visual analogue scale [VAS] score of 1–2); 6. Fetal heart rate >=120 beats/min at the last assessment before conversion to surgery; 7. American Society of Anesthesiologists (ASA) physical status I–II; 8. No significant abnormalities on routine prenatal examinations.
Exclusion criteria
Exclusion criteria: 1. Presence of cardiovascular disease; 2. Recent use of analgesic medications; 3. Psychiatric disorders preventing cooperation; 4. Hypertension; 5. Conversion to general anesthesia or need for repeat neuraxial puncture due to inadequate anesthetic effect; 6. Conversion to vaginal delivery after entering the operating room; 7. Time interval exceeding 5 minutes from the first epidural bolus of high-concentration local anesthetic to skin incision; 8. Use of vasoactive drugs to treat hypotension or bradycardia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal blood pressure; | — |
Secondary
| Measure | Time frame |
|---|---|
| Is there any pain;Ramsay Sedation Score.;Neonatal Apgar score;Maternal heart rate;Maternal oxygen saturation;Whether the surgeon is satisfied with the degree of muscle relaxation; | — |
Countries
China
Contacts
Public ContactZhai Liping
Nanhai District Maternal and Child Health Hospital of Foshan City (Nanhai Maternity Children's Hospital, Guangzhou University of Traditional Chinese Medicine)
Outcome results
None listed