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Doppler Indices to Predict Spinal Hypotension During Cesarean Section

Femoral Artery Doppler Indices as an Emerging Predictor of Spinal Anesthesia-induced Hypotension in Elective Cesarean Section: A Prospective Observational Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06825806
Enrollment
40
Registered
2025-02-13
Start date
2025-02-14
Completion date
2025-04-03
Last updated
2025-04-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Doppler, Spinal Hypotension

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

Cairo University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

* ASA II * singleton pregnancy * full term

Exclusion criteria

* vascular disease * contraindication to spinal anesthesia * inability to obtain adequate Doppler

Design outcomes

Primary

MeasureTime frame
Accuracy of the change in pulsatility index to predict spinal hypotensionbaseline and immediately after spinal anesthesia

Secondary

MeasureTime frame
accuracy of change in waveform morphology to predict spinal hypotensionbaseline and immediately after spinal anesthesia
baseline shock index to predict hypotensionbaseline
baseline PI to predict spinal hypotensionbaseline
baseline RI to predict hypotensionbaseline

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026