Hypotension during spinal anesthesia for cesarean section ephedrine phenylephrine spinal anesthesia cesarean section
Conditions
Interventions
if systolic blood pressure less than 80% of baseline ,
given ephedrine 6 mg intravenous bolus ,if systolic blood pressure less than 80% of baseline ,
given phenylephrine 100 mcg intravenous
Experimental Drug,Experimental Drug
ephedrine,phenylephrine
Sponsors
Ratchadapiseksompotch Fund, Faculty of Medicine
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: ASA I,II more than 18 years old Normal singleton baby GA 37-42 weeks Adequate spinal anesthesia for cesarean delivery and SBP< 80% of baseline SBP at ward
Exclusion criteria
Exclusion criteria: PIH, Preexisting hypertension Complicated obstetrics (eg.Abruptio placenta, placenta previa) Substance abuse in pregnancy 24 hr. preop. administration of pseudoephedrine, nasal decongestants, pethidine, terbutaline Known fetal abnormalities (IUGR, fetal cardiac disease)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| neonatal heart rate at 30 minutes post-delivery beat per minute | — |
Secondary
| Measure | Time frame |
|---|---|
| neonatal blood pressure, respiratory rate, temperature, sugar, lactate, Apgar score at 30 minutes post-delivery mmHg, per miute, degree celcius, mg/l, mmol/l, score | — |
Countries
Thailand
Contacts
Public ContactKetchada Uerpairojkit
faculty of medicine, Chulalongkorn university
Outcome results
None listed