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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT06236217
Other study ID # 34801/07/21
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date August 1, 2021
Est. completion date July 1, 2023

Study information

Verified date January 2024
Source Tanta University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This research aimed to evaluate and compare the role of carotid corrected flow time (FTc) and electrical cardiometry (EC) in the prediction and prevention of post-spinal hypotension in elective cesarian section.


Description:

Spinal anesthesia is the procedure of choice for elective cesarean section (CS) because it avoids the most common side effects related to general anesthesia, such as the risk of aspiration, airway problems and the negative effects of intravenous anesthetic drugs on the fetus. Accurate prediction of post-spinal hypotension could enhance clinical decision-making, optimize management, and facilitate early intervention. More than thirty predictors were used in the prediction of post-spinal hypotension including demographic data, hemodynamic variables, postural stress testing, peripheral perfusion indices, volume and fluid responsiveness indices, and genetic polymorphism. The baseline parameters obtained via the bioreactance-based system may serve as a predictor of post-spinal anesthesia hypotension in parturient.


Recruitment information / eligibility

Status Completed
Enrollment 300
Est. completion date July 1, 2023
Est. primary completion date July 1, 2023
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - Aged = 18 years. - American Society of Anesthesiologists (ASA) physical status II. - Gestational age (GA) = 36 weeks. - Women planned elective cesarean section under spinal anesthesia. Exclusion Criteria: - Patient refusal to participate in the study. - Gestational age of < 36 or =40 weeks of pregnancy. - Pregnancy-induced hypertension. - Diabetes. - Cardiovascular diseases, arrhythmia. - Antepartum hemorrhage. - Body Mass Index (BMI) above 36 kg/m2. - Clinical fetal complications.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Carotid Ultrasound
The carotid artery corrected flow time (FTc) was used in patients to optimize the volume status before performing spinal anesthesia.
Electrical cardiometry
Stroke volume variation (SVV) measured by electrical cardiometry (EC) was used to optimize the volume status before performing spinal anesthesia.

Locations

Country Name City State
Egypt Tanta University Tanta El-Gharbia

Sponsors (1)

Lead Sponsor Collaborator
Tanta University

Country where clinical trial is conducted

Egypt, 

Outcome

Type Measure Description Time frame Safety issue
Primary The incidence of post-spinal hypotension Incidence of spinal anesthesia-induced hypotension was measured. Post spinal hypotension is defined as a drop in the SBP to less than 80mmHg, or less than 75% of the pre-anesthetic value. Hypotension was treated by IV vasopressor boluses (Ephedrine 5 mg). Intraoperatively
Secondary The amount of intravenous fluids The amount of intravenous fluids was assessed. Intraoperatively
Secondary The amount of vasopressor The amount of vasopressor was assessed. Post spinal hypotension is defined as a drop in the SBP to less than 80mmHg, or less than 75% of the pre-anesthetic value. Hypotension was treated by IV vasopressor boluses (Ephedrine 5 mg). Intraoperatively
Secondary Umbilical cord PH Umbilical cord PH was measured with fetal delivery. Immediately after fetal delivery
Secondary Neonatal APGAR score Neonatal APGAR score is a score between 7-10 is normal; a score between 4-6 needs proper reevaluation as the infant does require monitoring for 5 minutes. It was measured at 1, 5 minutes. 5 minutes after fetal delivery
Secondary Complications Complications such as bradycardia, pruritis and urine retention were measured Intraoperatively
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