Pre-Eclampsia
Conditions
Brief summary
The purpose of this study is to investigate the effects of dexmedetomidine infusion on the stress response to intubation, postoperative analgesia, and renal functions (urinary output \[UOP\], creatinine and glomerular filtration rate \[GFR\]) in preeclamptic patient.
Interventions
Caesarian section will be performed under standard general anesthesia plus pre and intra operative saline infusion (placebo) in the same rate as dexmedetomedine starting 15 minutes before induction of general anesthesia and continue till peritoneum closure.
Caesarian section will be performed under standard general anesthesia plus pre and intra operative Dexmedetomidine infusion in a dose of 0.5mic/kg/hour starting 15 minutes before induction of general anesthesia and continue till peritoneum closure.
Sponsors
Study design
Masking description
double-blinding
Eligibility
Inclusion criteria
* pregnant women * have mild preeclampsia ( Pre-eclamptic patients will be defined as having hypertension \[systolic blood pressure (SBP) ≥140 mmHg and/or diastolic blood pressure (DBP)≥90 mmHg\] accompanied by proteinuria first detected after 20 weeks of gestation). * Proteinuria is defined as at least 300 mg protein in 24 h urine collection \[or ≥1+ dipstick (30 mg/dl) in a single urine sample\] ). * American Society of Anesthesiologists (ASA) physical status of II or III. * age between 19 and 40 years
Exclusion criteria
* patient refusal to consent (obsolete). * pre-existing neurological disease or psychic patients. * history of cardiac and respiratory system failure. * co-existing significant renal or liver disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative analgesia | 24 hours postoperatively | through VAS score readings |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| stress response | 24 hours postoperatively | mean arterial blood pressure |
| renal function | 24 hours postoperatively | glomerular filtration rate |
| untoward events | 24 hours postoperatively | eclampsia, drug side effects (over sedation, hypotension, bradycardia) |
Countries
Egypt