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NCT ID: NCT03043495 Recruiting - Dexamethasone Clinical Trials

Dexamethasone Dose in Low Volume Bupivacaine USG Supraclavicular Block

Start date: October 1, 2016
Phase: Phase 4
Study type: Interventional

A dose-ranging study to test various doses of Dexamethasone (2, 4 & 8 mg) to be used as an adjuvant to Local anesthetic drugs in ultrasound guided low volume Supraclavicular brachial plexus block to find the best balance between valuable effects (mainly duration of analgesic Effect) and side-effects (mainly increased random blood sugar levels)

NCT ID: NCT03042663 Recruiting - Clinical trials for Stellate Ganglion Block

Effect of Stellate Ganglion Block on Blood Flow in the Cannulated Radial Artery

Start date: March 1, 2016
Phase: N/A
Study type: Interventional

To evaluate the value of US-guided Stellate ganglion block for improving radial arterial blood flow and peripheral perfusion in Septic shock patients on vasopressor support with an indwelling radial arterial cannula, which can result in reduced incidence premature failure of the catheter (due to vasospasm or thrombosis) and incidence of ischemic complications in the cannulated arm.

NCT ID: NCT03037944 Recruiting - Adenomyosis Clinical Trials

Levonorgestrel-releasing Intrauterine System Versus a Low-dose Combined Oral Contraceptive for Management of Adenomyosis Uteri

LNG-IUDvsCOCs
Start date: March 1, 2016
Phase: N/A
Study type: Interventional

This study aims to compare the efficacy of LNG - IUD (Levonorgestrel releasing intrauterine device) Versus Low dose COCs (combined oral contraceptive pills) on management of heavy menstrual bleeding and Dysmenorrhea caused by Adenomyosis.

NCT ID: NCT03035214 Recruiting - Clinical trials for Bronchopulmonary Dysplasia

Study to Justify Steroid Use in Preterm Neonates to Prevent Bronchopulmonary Dysplasia

Start date: February 19, 2017
Phase: Phase 2
Study type: Interventional

Most preterm babies require supplemental oxygen for a variable period of time, up to several weeks or months after birth. The aim of oxygen therapy is to achieve adequate oxygen supply to the tissues without causing oxygen toxicity and oxidative stress. The current routine monitoring relies on oxygen saturation by pulse oximetry without identifying the underlying pathology, as lung parenchyma and pulmonary vascular disease can be contributed in pathophysiology at variable degrees. Steroids usage for prevention of Bronchopulmonary dysplasia also has been shown to have adverse neurodevelopmental outcome. Available data are conflicting and inconclusive; clinicians must use their own clinical judgment to balance the adverse effects of Bronchopulmonary dysplasia with the potential adverse effects of treatments for each individual patient. Very low birth weight infants who remain on mechanical ventilation after 1 to 2 weeks of age are at very high risk of developing Bronchopulmonary dysplasia. When considering corticosteroid therapy for such an infant, clinicians might conclude that the risks of a short course of glucocorticoid therapy to prevent Bronchopulmonary dysplasia are warranted.

NCT ID: NCT03034382 Recruiting - Rotator Cuff Tear Clinical Trials

Morphine and/or Nalbuphine as Adjuvants in Ultrasound Guided Interscalene Block: for Shoulder Surgeries

Start date: January 2016
Phase: Phase 2
Study type: Interventional

the aim of this study is to evaluate the duration of analgesia when either morphine or nalbuphine or both are used as adjuvants in sonar guided interscalene brachial plexus block for arthroscopic rotator cuff repair.

NCT ID: NCT03031353 Recruiting - Clinical trials for Cesarean Delivery Affecting Fetus

Misoprostol Before Elective Caesarean Section for Decreasing the Neonatal Respiratory Morbidity

Start date: January 2017
Phase: N/A
Study type: Interventional

Neonatal respiratory distress may occur in either term or preterm newborns with a higher relative risk in preterm, and whether born vaginally or through caesarean section, but in a higher percentage after elective caesarean section whose rate is rising. Prostaglandins may be given about one hour before an elective caesarean section after excluding the presence of contraindication to their use to decrease the neonatal respiratory diseases and thus, the number of children who suffered from bronchopulmonary dysplasia that occurs frequently in children who had previously TTN will diminish.

NCT ID: NCT03018301 Recruiting - Postoperative Pain Clinical Trials

Intravenous Ketamine and Postoperative Pain Following Cesarean Section.

Start date: January 2017
Phase: Phase 2
Study type: Interventional

The purpose of this study is to investigate the analgesic effect of low-dose intravenous ketamine in pregnant mothers undergoing cesarean section under Bupivacaine spinal anesthesia.

NCT ID: NCT03016273 Recruiting - Cesarean Delivery Clinical Trials

Bladder Flap Technique In Elective Cesarean Section

Start date: February 20, 2017
Phase: N/A
Study type: Interventional

Cesarean section is a surgical procedure used to deliver one or more babies. cesarean section is usually performed when vaginal delivery will put the mother or child's health or life at risk. In recent years, the number of cesarean section has risen worldwide.

NCT ID: NCT03012464 Recruiting - Rectal Prolapse Clinical Trials

Pathologic Assessment of Rectal Prolapse in the Young

Start date: January 2017
Phase: N/A
Study type: Observational

Patients aging less than 45 years with rectal prolapse will undergo full pathologic and functional assessment to determine the underlying etiology.

NCT ID: NCT03009994 Recruiting - Clinical trials for Intrapartum Hemorrhage

Exteriorization Versus Non-exteriorization of the Uterus During Repair of Uterine Incision in a Repeated Cesarean Section

Start date: September 2016
Phase: Phase 2
Study type: Interventional

Cesarean section is one of the most frequently performed major operations worldwide. It accounts for between 1% and 70% of deliveries depending on the facilities or country assessed. In Egypt, the cesarean section rate is 22%, with higher rates seen in private hospitals. In 2015 ,incidence of cesarean section rate in Woman Health Hospital in Assiut university is 51.3% of all deliveries. Different Operational techniques For cesarean section have been defined aimed at reducing surgical time, making the surgery easier and more efficient, lowering costs,decreasing the risk of adverse effects and postoperative morbidity, as well as length of hospital stay. Also, Intraoperative blood loss is one of important complications during cesarean section. A systematic review included twenty one studies, in 2011, revealed that increase incidence of intraoperative blood loss and blood transfusion with increase number of cesarean deliveries.also anemia in the pregnancy increase maternal morbidities included intraoperative blood loss. In Egypt, prevalence of Iron deficiency anemia among pregnant women about 51% of pregnant women. After baby born by cesarean section and the placenta has been extracted, uterine incision is sutured either by temporary removal of the uterus from the abdominal cavity (exteriorization of the uterus) to facilitate uterine incision repair or it is repaired within the abdominal cavity (in situ repair). There had been few randomized controlled trials comparing intraoperative and postoperative morbidity following exteriorization of the uterus with non-exteriorization. The conclusions drawn from these trials have been conflicting.