Pregnancy and Childbirth The effect of higher dose hyperbaric bupivacaine on the haemodynamic changes and duration of spinal.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) All stable pregnant patients undergoing elective caesarean section who are eligible for spinal anaesthesia in participating hospitals. 2) Any patient that is >18 years undergoing elective caesarean section who is eligible for spinal anaesthesia can give consent. 3) American Society of Anaesthesiologists (ASA) Physical Status Classification System I-II patients.
Exclusion criteria
Exclusion criteria: 1) Emergency caesarean sections 2) Contraindications to spinal anaesthesia i.e. hypovolemia, valvular heart lesions (mitral or aortic stenosis), coagulation abnormalities, inability to consent, patient refusal to consent to the study, 3) Age < 18 years 4) ASA III and above patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To check if there is no difference in haemodynamic changes after giving spinal block with a higher dose of hyperbaric bupivacaine of 11mg versus standard dose of 9mg. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assess the frequency of implementing rescue analgesia, sedation, or conversion to general anaesthesia between the two dosages by indicating any additional drugs given to the patient during the caesarean section for pain or conversion to general anaesthesia. | — |
Countries
South Africa
Contacts
Supervisor