Clinical Trials Logo
  1. Home
  2. Anesthesia, Spinal
  3. NCT04719819

Spinal Anaesthesia for Caesarean Section: Descriptive Multicentre Study — CesAR  

Anesthesia, Spinal Clinical Trial

Official title:
Spinal Anaesthesia for Caesarean Section: Descriptive Multicentre Study

Clinical Trial Summary

Most of caesarean sections can be performed under spinal anaesthesia. Its major advantages are reliability and fast onset. However, dose of hyperbaric bupivacaine used, combination with adjuvants, hemodynamic management, and impact of these measures on maternal experience are not uniform. This study aims to describe practices of spinal anaesthesia for caesarean section in France to improve practices, guide new studies and establish protocols.

Clinical Trial Description

Most of caesarean sections can be performed under spinal anaesthesia. Its major advantages are reliability and fast onset. However, techniques of spinal anaesthesia are varied. Dose of hyperbaric bupivacaine used may shifted, varying intensity of sensor block but also hemodynamic side effect. Likewise, use of adjuvant is frequent and differs between centres. Management of the maternal hemodynamic is also discussed. While it is recognized that intraoperatively vascular filling alone is not effective, use of vasopressors is not unequivocal. For example, recent studies support the use of norepinephrine. Finally, maternal experience is a hot topic. Although insufficient anaesthesia is rare, it is often overlooked. There are few recommendations on the intraoperative treatment of insufficient anaesthesia and to the management of post-traumatic stress that it lead to. The objective of this study is to describe practices of spinal anaesthesia for scheduled or non-emergency caesarean section (also named "green code") in France by detailing several points: Technique of spinal anaesthesia: - The anaesthesia solution used (doses and adjuvants) - Management of hemodynamic - Management of insufficient anaesthesia - Maternal experience It aims to make an inventory of practices, to orient future studies, guide practice and the realization of protocols. It is an observational study unfolds from 2021 to 2022. It concerns 11 French centres and 600 women. Data are collected with an online questionnaire. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04719819
Study type Observational
Source University Hospital, Clermont-Ferrand
Contact
Status Completed
Phase
Start date January 31, 2021
Completion date February 3, 2023
View Details
See also
  Status Clinical Trial Phase
Completed NCT03324984 - 1% Chloroprocaine(PF) vs. Bupivacaine Spinals Phase 2
Recruiting NCT03399019 - Bispectral Index(BIS) on Depth of Sedation With Dexmedetomidine, Propofol and Midazolam During Spinal Anesthesia N/A
Suspended NCT03967288 - Comparison of Clorotekal and Bupivacaine for Short Obstetric Surgery Phase 4
Completed NCT03316352 - Ultrasound-assisted Versus Conventional Landmark-guided Paramedian Spinal Anesthesia in Elderly Patients N/A
Completed NCT04092478 - '' Abdominal Crunch Positions With the Others in Terms of Interspinous Distance in Adult Patients ''
Recruiting NCT04128410 - A Study on Central Transport Characteristics of Flurbiprofen Axetil in Elderly Patients
Completed NCT02961842 - Combined Colloid Preload And Crystalloid Coload Versus Crystalloid Coload During Spinal Anesthesia for Cesarean Delivery N/A
Completed NCT04050059 - Comparison of Two Analgesic Pretreatment Techniques Before Spinal Needle Insertion for Pain Reduction and Maternal Satisfaction Level Assessment in Women Undergoing LSCS. N/A
Completed NCT02833376 - Alcohol 70% Versus Chlorhexidine 0.5% in the Spinal Anesthesia Skin Antissepsis N/A
Not yet recruiting NCT06427382 - Prediction of Hypotension Using Perfusion Index Following Spinal Anesthesia
Completed NCT03105115 - Effect of Intrathecal Fentanyl on Spinal Anesthesia During Dexmedetomidine Infusion N/A
Terminated NCT04996420 - Goal Directed Fluid Therapy Versus Liberal Fluid Regimen in Primary Elective Hip Artrhoplasty N/A
Not yet recruiting NCT06418308 - Intrathecal Dexmedetomidine vs Epinephrine Phase 4
Not yet recruiting NCT03142880 - Spinal Marginally Hyperbaric Ropivacaine for Cesarean Delivery N/A
Completed NCT03929874 - Ultrasound Image Study for Ultrasound-assisted Paramedian Spinal Anesthesia
Completed NCT05379777 - Effective Dose of Remimazolam for Sedation in Patients Undergoing Lower Extremity Surgery Under Spinal Anesthesia Phase 4
Completed NCT03959644 - Failure Rate in Spinal Blocks and Determination of Related Factors
Recruiting NCT03497364 - Combined Spinal-epidural Anesthesia for Cesarean Section Without Prophylactical Prehydration and Vasopressors N/A
Completed NCT03075488 - Ultrasound Prescan vs Conventional Landmark-guided Technique in Spinal Anesthesia in Orthopedic Obese Patients N/A
Completed NCT06375863 - QT Changes in Geriatric Patients: a Comparison of Spinal and General Anesthesia N/A