Ninvasive Cardiac Output Measurements During Cesarean Delivery Under Spinal Anesthesia.
NCT01928797 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2017-11-14
Summary
The purpose of the study is to learn more about how the heart works during cesarean delivery under spinal anesthesia (medicines given in the spine that numb parts of your body to block pain) in women. The investigators would like to find out if the information about the heart can help in treating blood pressure changes that occur during the cesarean delivery. The investigators would also like to find out if this information can help reduce the chances of nausea and vomiting during the cesarean delivery.
The activity of the heart changes during spinal anesthesia and cesarean section. In the past, a sensor placed directly into the heart was the only way to see how the heart worked. Currently, there are monitors that can sense the heart's activity via sensors that are placed on the skin during cesarean delivery.
In this study, the investigators will use the ICON cardiac output (ICON) monitor. The ICON monitor is approved by the US Food and Drug Administration (FDA) to monitor (check) the activity of your heart.
This study aims to:
1. Determine if additional cardiac output measurements help anesthesiologists maintain appropriate hemodynamics as defined as within 20% of baseline BP and if it changed their choice of vasopressors (primary outcome).
2. Determine if additional cardiac output measurements help to decrease the incidence of nausea and vomiting during cesarean delivery (secondary outcome).
Conditions
- Hypotension During Cesarean Delivery
- Spinal Anesthesia
Interventions
- DEVICE
-
Cardiac output monitor data
The availability of cardiac output monitor provides additional hemodynamic indices that may help guide anesthesiologists to better select vasopressors
Sponsors & Collaborators
-
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Bhavani Shankar Kodali, MD · Brigham and Women's Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-11-01
- Primary Completion
- 2014-12-31
- Completion
- 2014-12-31
Countries
- United States
Study Locations
More Related Trials
-
The Severity Of Hypotension Comparing Three Positions During Spinal Anesthesia For Cesarean Delivery
NCT02146898 ·Status: COMPLETED ·Phase: NA
-
Non-invasive vs Invasive Cardiac Output Monitoring During Cesarean Section
NCT06473818 ·Status: COMPLETED
-
Closed-loop Double-vasopressor Automated System to Treat Hypotension During Spinal Anaesthesia for Caesarean Section
NCT04025918 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Study to Detect Hypotensive Episodes During Spinal Anesthesia for Cesarean Section Using a Noninvasive Continuous Device
NCT01157520 ·Status: COMPLETED
-
The Feasibility of PetCO2 Prediction Hypotension Under Spinal Anesthesia for Cesarean Section
NCT02032355 ·Status: UNKNOWN
-
Predictive Hemodynamic Monitoring During Elective Cesarean Section
NCT06729827 ·Status: COMPLETED ·Phase: NA
-
Non Invasive Haemodynamics in Neuraxial Anaesthesia Hypotension
NCT03653442 ·Status: COMPLETED
-
Maternal Hypotension During Cesarean Section and Short Term Neonatal Outcome.
NCT00330512 ·Status: TERMINATED
-
Different Approaches to Maternal Hypotension During Cesarean Section
NCT00991627 ·Status: COMPLETED ·Phase: PHASE4
-
Corrected Carotid Flow Time for Predicting Spinal Anesthesia-induced Hypotension
NCT06905535 ·Status: NOT_YET_RECRUITING
-
Norepinephrine and Phenylephrine for Maternal Cardiac Output During Spinal Anesthesia for Elective Cesarean Delivery
NCT02969239 ·Status: UNKNOWN ·Phase: PHASE4
-
Dicrotic Notch and Hypotension at Caesarean Under Spinal Anaesthesia
NCT02437799 ·Status: COMPLETED
-
Diastolic Performance and Norepinephrine in Spinal-Induced Hypotension for Cesarean Delivery
NCT04560634 ·Status: COMPLETED
-
Norepinephrine To Prevent Hypotension After Spinal Anesthesia For Cesarean Delivery: A Dose Finding Study
NCT02654847 ·Status: COMPLETED ·Phase: NA
-
Hemodynamic Effects of Low Dose Spinal Anesthesia for Cesarean Section
NCT02036697 ·Status: TERMINATED ·Phase: NA
-
Prediction of Spinal Anesthesia-Induced Hypotension in Cesarian Section: Carotid Artery-Corrected Flow Time Versus Cardiometry
NCT06236217 ·Status: COMPLETED ·Phase: NA
-
Effects of Spinal Anesthesia on the Fetal Autonomic Nervous System
NCT07333729 ·Status: RECRUITING ·Phase: NA
-
The Ability of the Change in Positional Perfusion Index in Predicting Post-spinal Anesthesia Hypotension in Caesarian Section
NCT05269407 ·Status: COMPLETED
-
Carotid Flow Measurements in Pregnant Women
NCT06813989 ·Status: RECRUITING
-
Predicting Hypotension Related to Spinal Anesthesia for Caesarean Section With Ultrasonography
NCT02471924 ·Status: COMPLETED ·Phase: NA
-
Respiratory Rate After Cesarean Delivery
NCT04250233 ·Status: COMPLETED
-
Spinal Anesthesia for Cesarean Delivery is Associated With Decreases in Regional Cerebral Oxygen Saturation as Assessed by Near- Infrared Spectroscopy
NCT01669135 ·Status: COMPLETED ·Phase: NA
-
The Effect of Preventive Use of Ondansetron in the Cesarean Section Under Spinal Anesthesia
NCT02883192 ·Status: UNKNOWN ·Phase: NA
-
Detecting Hypotension By Continuous Non-invasive Arterial Pressure Monitoring
NCT02532270 ·Status: UNKNOWN ·Phase: NA
-
Hemodynamics During Cesarean Delivery Under Spinal Anesthesia With Norepinephrine Versus Ephedrine
NCT07322419 ·Status: RECRUITING ·Phase: PHASE4