Bradycardia, Cesarean Section Complications, Spinal Anesthetics Causing Adverse Effects in Therapeutic Use
Conditions
Brief summary
The aim of this study is to assess the efficacy of Iv hyoscine butylbromide in preventing Bradycardia during cesarean section under spinal anaesthesia with local anaesthetic and morphine.
Interventions
Patients will receive IV study solution which is hyoscine butylbromide 20 mg in 1 ml one minute after spinal anaesthesia
Patients will receive 1 ml of IV normal saline as a placebo one minute after spinal anesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA physical status class I-II. * Age: 18 Years to 40 Years. * Women scheduled for elective Cesarean section under spinal anesthesia. * indications for CS other than fetal or maternal pathology.
Exclusion criteria
* Height \< 150 or \> 180 cm * Body mass index (BMI) \>35 kg/m2 * Contraindication for central neuraxial block * Refusal to undergo regional anesthesia * Known allergy to any of the study drugs, * Infection at the site of injection, * Coagulopathy, * Indication to general anesthesia * Baseline bradycardia (heart rate \< 60/min), or any cardiovascular disease * Patients taking β-adrenergic blockers or any drugs that may alter normal response to study drugs. * Arrhythmia such as atrial fibrillation, supraventricular tachycardia, heart block greater than first degree, left bundle branch block, * Hypertension (systolic blood pressure more than 140 mm Hg or diastolic blood pressure more than 90 mm Hg), unstable angina or cardiomyopathy, * Associated medical problem with pregnancy (as hypertension, diabetes mellitus, hepatic impairment or renal impairment)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bradycardia | intraoperative | number of participants who will develop heart rate below 50 BPM. |
Countries
Egypt