Hypotension, Spinal Anaesthesia
Conditions
Keywords
spinal anaesthesia, ephedrine
Brief summary
The aim of this study was to examine the effect of keeping the patient in a sitting position for 1 minute after spinal anaesthesia in elective caesarean operations, primarily on the formation of hypotension and secondarily on nausea-vomiting, the need for ephedrine and the block characteristics.
Interventions
PROCEDUREsitting position
keeping the patient in a sitting position after spinal anaesthesia
PROCEDUREsupine position
keeping the patient in supine position after spinal anaesthesia
Sponsors
Umraniye Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* aged 18 - 45 years, * ASA physical status * I - II, * BMI of 25-30 * who were undergoing elective CS
Exclusion criteria
* vertebral anomaly, * peripheral vascular disease, * cardiovascular or psychiatric disorder, * severe anemia, * coagulopathy * infection in the intervention region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| systolic arterial hypotension | every 3 minutes until the delivery and every 5 minutes until the end of surgery | reduction of \>25% in the basal systolic arterial pressure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sensory block | 10 minutes after spinal block | assesment of the time to reach T12 level with pin prick test |
| ephedrine requirement time | 1 hour after spinal block | the time to first administration of ephedrine as minutes after spinal block |
| amount of ephedrine | 1 hour after spinal block | administrated total ephedrine dosage as mg during surgery |
| surgeon and patient satisfaction | 24 hours after spinal block | 1= poor, 2=fair, 3= good, 4= very good |
| motor block | 24 hours after spinal block | time to Bromage Score 0 after applying spinal block |
Outcome results
None listed