Scheduled cesarean section (ASA 1 or 2) for previous ceasarean section, previous obstetric surgery or plevis position.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.ASA 1or 2 of scheduled ceasarean section for previous ceasarean section or plevis position after the 37th week of gestation and under the age of 45. 2.Weight from 45kg to 90kg 3.Fully apprehended as to purport or meaning of the study and with written consent (approved by the ethics committee) after received an explanation.
Exclusion criteria
Exclusion criteria: 1.Allergic or having contraindication to any medicine used in this study 2.Pregnancy induced hypertension 3.Multiple pregnancy 4.abnormal fetus 5.Diabetic(HbA1c>7) 6.Cardiovascular or cerebrovascular disorder 7.Coagulopathy disorder 8.neuromuscular disease 9.BMI>35 10.Renal impairment(estimated Ccr<30)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The incidense of hypotension The definition of hypotension is systolic blood pressure of no more than 90mmHg or of systolic blood pressure decrease not less than 20%. The evaluation period is from the entrance to operating room till the birth of baby. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pleth variability index at the entrance to operating room. 2. The change of pleth variability index from the previous night to the entrance to operating room. 3. The change of pleth variability index after the birth of baby between the sedation case and the non sedation case 4. Intraoperative urinary output 5. Apgar score (1min. 5min.) 6. Umbitical arterial blood gasanalysis (pH, PaCO2, PaO2, BS, Na, K) 7. Transition of blood glucose level within 24hour after the birth. 8. The satisfaction of the patient. (Numeric Rating Scale) 9. The incidense of nausea and vomiting. 10. The incidense of other side effects. | — |
Countries
Japan
Contacts
saiseikai yokohamashi tobu hospital department of anesthesiology