Status:
COMPLETED
Two Norepinephrine Rescue Bolus Doses for Management of Severe Post-spinal Hypotension During Elective Cesarean Delivery
Lead Sponsor:
Kasr El Aini Hospital
Conditions:
Postspinal Hypotension
Cesarean Delivery
Eligibility:
FEMALE
18-40 years
Phase:
PHASE4
Brief Summary
Maternal hypotension after spinal block is a common complication after subarachnoid block in this population whose incidence reached 60% in many reports. Hypotension is associated with maternal and ne...
Detailed Description
Upon arrival to the operating room, the patient will be in supine position with left uterine displacement using a wedge below the right buttock. Routine monitoring will be applied (electrocardiography...
Eligibility Criteria
Inclusion
- full-term singleton pregnant women
- American society of anesthesiologist physical status of I or II,
- scheduled for elective cesarean delivery
Exclusion
- Patients with uncontrolled cardiac morbidities (patients with tight valvular lesion, impaired contractility with ejection fraction \< 50%, heart block, and arrhythmias),
- hypertensive disorders of pregnancy,
- peripartum bleeding, coagulation disorders (patients with INR \>1.4 and or platelet count \< 80000 /dL) or
- any contraindication to regional anesthesia, and
- baseline systolic blood pressure (SBP) \< 100 mmHg
Key Trial Info
Start Date :
March 11 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 25 2022
Estimated Enrollment :
158 Patients enrolled
Trial Details
Trial ID
NCT05290740
Start Date
March 11 2022
End Date
July 25 2022
Last Update
June 18 2023
Active Locations (1)
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1
Kasr Alaini Hospital
Cairo, Egypt, 11562