Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: parturients who were in active labor (gestational age>37 weeks) aged 18–35 years old, had an American Society of Anesthesiologists status II admitted for an emergency CS after an established labor epidural analgesia.
Exclusion criteria
Exclusion criteria: an emergency CS of the first type multiple pregnancies a high-risk pregnancy (e.g. preeclampsia, antepartum hemorrhage, diabetes mellitus, body mass index (BMI) =35 kg/m2) a malfunctioning epidural catheter during the labor( no analgesia after two intra-partum top-up doses) last labor epidural supplementation of less than two hours, hemodynamic instability after a previous top-up documented history of allergy to any of the drugs used in the trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| onset of the block | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of labor analgesia ;Time since last top-up dose ;pre sensory and motor level and pain score;Time to block at level T6 ;Number of patients who needed top-up to reach level T6.;sensory and motor block at start of surgery;Number of patients needed Supplemental intraoperative analgesia;duration of analgesia;time to motor recovery;Apgar score;adverse events e.g. hypotension, bradycardia, somnolence | — |
Countries
Egypt
Contacts
Lecturer of Anesthesia and Surgical Intensive Care Faculty of Medicine Tanta University