Hypotension
Conditions
Keywords
hypotension, spinal anesthesia, cesarean
Brief summary
The purpose of this study is to compare the effect of TEAS on hypotension after spinal anesthesia in patients undergoing cesarean section
Detailed description
Patients were randomly assigned to 3 groups, receiving TEAS , non-acupoint stimulation or no-stimulation after spinal anesthesia respectively. 1.4 ml of bupivacaine mixed with 0.2ml of 50% glucose was given for spinal anesthesia under lateral position. Then the patient was switched to supine position and the OR table was tilted to the left for 15 degree. The sensory loss level was assessed. The blood pressure and heart rate every 2min were recorded for 30min after spinal anesthesia. The adverse events and use of ephedrine adverse events were recorded as well.
Interventions
Electric stimulation was given through electrode attached to specific acupoints
Electric stimulation was given through electrode attached to the shoulder
Sponsors
Study design
Eligibility
Inclusion criteria
* Age\>18yrs * American Society of Anesthesiologists(ASA) status 1-2 * Scheduled for elective cesarean under spinal anesthesia * Gestational age\>38weeks, singleton pregnancy * Informed consented
Exclusion criteria
* Patients with pre-eclampsia or diabetes * Patients with hypertension or cardiac dysfunction * Disturbance of communication * Placental abruption
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of hypotension | During 30min after spinal anesthesia |
Secondary
| Measure | Time frame |
|---|---|
| Average systemic blood pressure(SBP) and diastolic blood pressure(DBP) | During 30min after spinal anesthesia |
| Lowest SBP and DBP | During 30min after spinal anesthesia |
| Dosage of ephedrine | During 30min after spinal anesthesia |
| postoperative nausea and vomiting(PONV) score | During 30min after spinal anesthesia |
| Incidence of dizzy and dyspnea | During 30min after spinal anesthesia |
| Change of concentration of serum adrenaline and noradrenaline | Immediately after TEAS |
Countries
China