Status:
RECRUITING
The Effect of HPI to Reduce Intraoperative Hypotension in Caesarean Sections
Lead Sponsor:
National University of Malaysia
Conditions:
Pregnancy Related
Hypotension
Eligibility:
FEMALE
18-40 years
Phase:
NA
Brief Summary
During caesarean section, blood pressure variations especially a reduction in blood pressure (or hypotension) can bring harmful effects to mother and baby. This usually occurs after spinal anaesthesia...
Detailed Description
Hypotension Prediction Index (HPI) has been shown to reduce IOH significantly in non-cardiac and major abdominal surgeries.The role of HPI beyond reducing IOH has also been a subject of research. Andr...
Eligibility Criteria
Inclusion
- Inclusion criteria:
- ≥ 37 weeks of gestation
- Elective CS
- Age between 18 - 40 years old
- Singleton pregnancy
- Planned for spinal anaesthesia
- Exclusion criteria:
- American Society of Anesthesiologists (ASA) III and above
- Body mass index (BMI) ≥ 40 kg/m2
- Increased risk of developing peripartum haemorrhage
- History of peripartum haemorrhage
- Placenta previa major, accrete, increta, percreta
- Gravida ≥ 5
- Presence of large uterine fibroids
- Congenital bleeding disorders such as Haemophilia A, Haemophilia B and Von Willebrand disease
- Acquired bleeding disorders such as thrombocytopenia and coagulopathy
- Contraindications to finger cuff orNIBP application, such as finger ischaemia, upper limb neurological deficit, discoloured nail
- Cardiac arrhythmias and aortic regurgitation
- Patient's refusal
Exclusion
Key Trial Info
Start Date :
January 1 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 31 2026
Estimated Enrollment :
100 Patients enrolled
Trial Details
Trial ID
NCT06892665
Start Date
January 1 2025
End Date
January 31 2026
Last Update
May 23 2025
Active Locations (1)
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1
Hospital Canselor Tuanku Muhriz
Cheras, Kuala Lumpur, Malaysia, 56000