Post Spinal Hypotension
Conditions
Brief summary
Comparative Study between the Perfusion Index and Positional Haemodynamic Changes for Prediction of Hypotension after Spinal Anaesthesia in Caesarean Section
Detailed description
Hypotension following spinal anaesthesia may cause maternal dizziness, nausea, vomiting and fetal acidosis, administration of prophylactic vasopressor agents in pregnant women may cause undesirable effects on the mother and fetus. Perfusion index is the ratio of a pulsatile to a non-pulsatile fraction of blood volume. The increase of the pulsatile fraction manifested during vasodilatation corresponds to a higher PI. So, the patients with a higher PI have a higher risk for post-spinal hypotension. Elevated sympathetic activity before neuraxial anaesthesia was associated with a higher risk for post-spinal hypotension. The significant variability in haemodynamic after the positional change indicates higher sympathetic activity. The high the rise in autonomic activity, the higher the risk for post-spinal hypotension AIM OF THE WORK: Prediction of hypotension after spinal anaesthesia in caesarean section either by perfusion index and positional haemodynamic changes Grouping: All the recruited patients will be assessed by perfusion index. and by positional haemodynamic changes
Interventions
OTHERperfusion index in all parturient recruited for the study
Using perfusion index and positional hemodynamic changes for the prediction of postspinal hypotension in all parturient recruited for the study
Sponsors
Zagazig University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Parturient acceptance. * American Society of Anesthesiologists (ASA) II * arturient with be gestational age \>36 weeks and \<41 weeks. * Body mass index (BMI) ≤35kg/m2 * elective caesarean section delivery
Exclusion criteria
* preeclampsia * eclampsia, * gestational diabetes * Contraindication to regional anaesthesia as allergy, coagulation abnormalities or infection in site of injection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prediction of post-spinal hypotension using PI | 6 months | To correlate between perfusion index and hypotension after spinal anaesthesia in caesarean section |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prediction of post-spinal hypotension using positional hemodynamic changes | 6 months | To correlate between positional haemodynamic changes and hypotension after spinal anaesthesia in caesarean section |
Countries
Egypt
Contacts
Primary ContactRamy M Husin, M.B.B. Ch
Backup ContactNaglaa F Abdelhaleem
Outcome results
None listed