Hypotension during spinal anesthesia for cesarean secttion
Conditions
Interventions
if systolic blood pressure less than 80% of baseline,
use either phenylephrine or ephedrine according to P/E protocol,if systolic blood pressure less than 80% of baseline,
use ephedrine only
Experimental Drug,Experimental Drug
P/E group,control group
Sponsors
None
None,None
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 18 years of age and older scheduled for elective cesarean section in official time 37-42 weeks gestational age ASA physical status I-II normal singleton
Exclusion criteria
Exclusion criteria: multiple gestation complicated pregnancy eg. placenta previa, abruptio placenta preexisting cardiovascular disease, renal and liver impairment, thyroid dysfunction, increased intraocular pressure ongoing infection history of drug abuse, MAOI or TCA group 1 month prior to delivery, vasopressor agent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| average maternal heart rate after spinal anesthesia until operation end beat per minute | — |
Secondary
| Measure | Time frame |
|---|---|
| average maternal systolic blood pressure after spinal anesthesia until operation end mmHg,severity of nausea and vomiting after spinal anesthesia until operation end score,satisfaction after spinal anesthesia before delivery VAS,total dose of vasopressor after spinal anesthesia until operation end mg, mcg,atropine used after spinal anesthesia until umbilical cord clamping mg,arrhythmia after spinal anesthesia until operation end occurance,Apgar score 1st,5th minutes post-delivery score | — |
Contacts
Public ContactKetchada Uerpairojkit
Faculty of medicine, Chulalongkorn university
Outcome results
None listed