Intraoperative shoulder tip pain in patient undergoing cesarean section under spinal anesthesia shoulder pain, shoulder tip pain, cesarean section, reverse Trendelenburg position
Conditions
Interventions
adjust the operating table to 10 degree Reverse Trendelenburg Position before start operation and adjust to normal position after the wound was closed,operating table is parallel to the ground
Experimental Other,No Intervention Other
Reverse Trendelenburg Position,normal position
Sponsors
Department of Anesthesiology, Faculty of Medicine Ramathibodi hospital, Mahidol university
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Cesarean section under spinal anesthesia 2. ASA status 2-3 3. Singleton GA more than 37 weeks 4. Age 18 years or more 5. Informed consent
Exclusion criteria
Exclusion criteria: 1. Contraindication for spinal anesthesia 2. Emergency c/s due to fetal distress or non-reassuring fetal status 3. Chronic pain or recent trauma at shoulder less than 1 week 4. Pregnancy with placenta pathology 5. Pregnancy with myoma uteri or adenomyosis 6. Pregnancy with polyhydramnios, oligohydramnios, anhydramnios 7. History of preoperative thick meconium 8. Withdrawal of consent 9. Operation time more than 2 hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder tip pain Intraoperative period patients report if there is shoulder tip pain or not | — |
Secondary
| Measure | Time frame |
|---|---|
| blood pressure Intraoperative period non invasive blood pressure monitoring,blood loss Intraoperative period estimate blood loss from anesthetic record,patient's satisfaction after end of operation patient report satisfaction from one(least satisfaction) to ten(most satisfaction) ,surgeon's satisfaction after end of operation surgeon report satisfaction from one(least satisfaction) to ten(most satisfaction),Time from incision to delivery Intraoperative period anesthesiologist record time from incision to delivery | — |
Countries
Thailand
Contacts
Public ContactChoosak Tunprasit
Department of Anesthesiology Faculty of Medicine Ramathibodi hospital, Mahidol University
Outcome results
None listed