Combined spinal-epidural anesthesia for labor
Conditions
Interventions
Room temperature group (24?):Using room temperature (24?) 0.5% heavy bupivacaine for combined spinal-epidural block in term pregnant women.
Body temperature group (37?):Use of 0.5% heavy bupivacaine at body temperature (37?) for combined spinal-epidural block in term pregnant women
Sponsors
Jiaxing Maternal and Child Health Care Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. The study subjects were full-term (i.e., =37 weeks) singleton primiparous patients with an American Society of Anesthesiologists (ASA) physical status classification of II, who were scheduled for lower uterine segment cesarean delivery; 2. All included patients voluntarily participated in the study and signed informed consent forms.
Exclusion criteria
Exclusion criteria: 1. Patients with preeclampsia, hypertension or gestational hypertension; 2. Body mass index (BMI) >35kg/m^2; 3. Cardiovascular and cerebrovascular diseases; 4. Diabetes or gestational diabetes; 5. Multiple pregnancy; 6. Placenta previa; 7. Fetal distress; 8. Suspected fetal intrauterine growth restriction; 9. Contraindications to neuraxial anesthesia; 10. Allergic to bupivacaine; 11. Refused to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effective or ineffective subarachnoid block; | — |
Secondary
| Measure | Time frame |
|---|---|
| Record patients’ demographic information.;Record the patient’s intrathecal bupivacaine dosage.;Record the number of interventions by the anesthesiologist;Record the surgical procedure time;Record whether adverse reactions such as hypertension, hypotension, bradycardia, nausea, vomiting, and chills occur.;Record the newborn’s Apgar scores at 1 and 5 minutes.;Record the onset and offset times of sensory blockade and motor blockade in the patient.;Record patient satisfaction and the chief surgeon’s satisfaction.;Record fetal umbilical artery blood pH value; | — |
Countries
China
Contacts
Public ContactZhao Yanping
Jiaxing Maternal and Child Health Care Hospital
Outcome results
None listed