Circulatory System Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 60 Patients presented for elective cesarean sections American Society of Anesthesiologists (ASA) patient status classification II ages 21-40 years
Exclusion criteria
Exclusion criteria: 1. Age younger than 21 or older than 40 years 2. Major cardiovascular diseases 3. Preexisting hypertension or gestational hypertension, preeclampsia 4. Body mass index greater than 35 kg/m2. 5. Emesis gravidarum 6. Contraindication to neuraxial anesthesia (patient refusal, unstable hemodynamic, and coagulation abnormalities) 7. Any study drugs allergy. 8. emergent cesarean sections, multiple parities (twins/triplets) 9. > 1,000 ml blood loss,
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of hypotension will be collected at pre-defined time points: baseline measurement while supine (T0), in the sitting position (T1), immediately after injection of spinal anesthesia (T2), 5 and 10 min after spinal anesthesia while supine (T3, T4), at skin incision (T5), 3 min after skin incision (T6), at newborn delivery (T7), 3 min after delivery (T8), 10 min after delivery (T9) and at the end of surgery (T10). | — |
Secondary
| Measure | Time frame |
|---|---|
| changes in the heart rate will be collected at pre-defined time points: baseline measurement while supine (T0), in the sitting position (T1), immediately after injection of spinal anesthesia (T2), 5 and 10 min after spinal anesthesia while supine (T3, T4), at skin incision (T5), 3 min after skin incision (T6), at newborn delivery (T7), 3 min after delivery (T8), 10 min after delivery (T9) and at the end of surgery (T10). and the effect of the APGAR score. | — |
Countries
Egypt
Contacts
assistant lecturer