Doppler, Spinal Hypotension
Conditions
Keywords
Spinal hypotension; Cesarean section; femoral Doppler
Brief summary
Spinal anesthesia is safe and advisable anesthetic during cesarean section, despite that spinal induced hypotension is a common associated problem. Therefore early recognition of these critical events should take high priority to avoid serious consequences. in this regards several parameters were available to detect spinal hypotension but non is satisfactory till now. Researchers of this study aimed to evaluated the diagnostic accuracy of femoral artery Doppler to predict hypotension
Interventions
Right common femoral artery will be examined before and after spinal anesthesia to evaluate pulsatility index, resisitive index, and waveform morphology
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA II * singleton pregnancy * full term
Exclusion criteria
* vascular disease * contraindication to spinal anesthesia * inability to obtain adequate Doppler
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of the change in pulsatility index to predict spinal hypotension | baseline and immediately after spinal anesthesia |
Secondary
| Measure | Time frame |
|---|---|
| accuracy of change in waveform morphology to predict spinal hypotension | baseline and immediately after spinal anesthesia |
| baseline shock index to predict hypotension | baseline |
| baseline PI to predict spinal hypotension | baseline |
| baseline RI to predict hypotension | baseline |
Countries
Egypt