Low Dose Spinal Anesthesia in Cesarean Surgery
NCT02563795 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2016-03-15
Summary
Anesthesia for cesarean section requires special importance because it may affect both mother and the baby. To avoid maternal hypotension related to spinal anesthesia must be the primary objective during anesthesia. Even though many factors influence sensory nerve block for surgical anesthesia, local anesthetic dose is the main determinant. Another factor that influence the sensory nerve block is the obesity related to pregnancy. Due to the enlargement of epidural venous plexus related to pregnancy, the subarachnoid and epidural space reduces, so the local anesthetic requirement also reduces. Many investigators recommend lower dose of local anesthetic in obese patients due to reduced requirement There are many studies about dose regimens for cesarean anesthesia, but ideal dose have not been found. Investigators have designed this study to see the effects of conventional dose (10 mg bupivacaine) vs. low dose plus fentanyl (7,5 mg bupivacaine+25 mcg fentanyl) in obese and normal weight pregnant for cesarean section. The hypothesis was: the low dose regimen provides surgical anesthesia in obese patients while avoiding maternal hypotension.
Conditions
- Maternal Hypotension
- Anesthesia
Interventions
- DRUG
-
Bupivacaine
To compare low dose spinal anesthesia with bupivacaine alone if it can maintain surgical anesthesia during cesarean section in obese and non-obese pregnants
- DRUG
-
To compare low dose spinal anesthesia with bupivacaine+ fentanyl alone if it can maintain surgical anesthesia during cesarean section in obese and non-obese pregnants
Sponsors & Collaborators
-
Ankara University
lead OTHER
Principal Investigators
-
CIGDEM YILDIRIM GUCLU, MD · Ankara University
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-05-31
- Primary Completion
- 2016-01-31
- Completion
- 2016-02-29
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Combined Spinal Epidural Anesthesia in Obese Patients Undergoing Cesarean Surgery
NCT04612998 ·Status: COMPLETED ·Phase: NA
-
Is Elective Caesarean Sections for Predicting Post-spinal Hypotension Role of Overactive Bladder?
NCT05624671 ·Status: COMPLETED ·Phase: NA
-
Comparison of the Effects of Two Different Local Anesthetics Used in Spinal Anesthesia
NCT06763510 ·Status: COMPLETED
-
Propofol Anesthesia and Perinatal Outcome
NCT07035899 ·Status: COMPLETED ·Phase: NA
-
Comparison of Two Different Norepinephrine Bolus Doses for Management of Spinal Anesthesia-Induced Maternal Hypotension
NCT05502146 ·Status: COMPLETED ·Phase: PHASE4
-
Hyperbaric Bupivacaine and Hyperbaric Levobupivacaine in C/S
NCT02025374 ·Status: COMPLETED ·Phase: PHASE4
-
Height Adjusted Versus Standardized Dose of Bupivacaine for Spinal Anesthesia
NCT05233462 ·Status: RECRUITING ·Phase: NA
-
The Effect of Intraoperative Hypotension on Postoperative Cognitive Functions in Cesarean Section Operations
NCT05843838 ·Status: RECRUITING ·Phase: NA
-
Intrathecal Levobupivacaine With Opioids for Caesarean Section
NCT01858090 ·Status: COMPLETED ·Phase: PHASE3
-
The Effect of Low-dose Atropine on Sympathetic Blockade in Spinal Cesarean Section Patients
NCT05892913 ·Status: COMPLETED ·Phase: PHASE4
-
Corrected Carotid Flow Time for Predicting Spinal Anesthesia-induced Hypotension
NCT06905535 ·Status: NOT_YET_RECRUITING
-
Comparison of 3 Different Density Levobupivacaine Solutions + Fentanyl for Spinal Anaesthesia for Caesarean Delivery.
NCT03956303 ·Status: COMPLETED ·Phase: PHASE4
-
EFFECT OF DIFFERENT NOREPINPHRINE APPLICATION METHODS IN CAESARIANES ON HYPOTENSION AFTER SPINAL ANESTHESIA
NCT04951167 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Some Parturients' Characteristics on Sensory Block Level After Spinal Anesthesia
NCT03164096 ·Status: UNKNOWN ·Phase: PHASE4
-
Comparison of ONSD and rSO2 Measurements Between General and Spinal Anesthesia in C-Section
NCT04446013 ·Status: COMPLETED ·Phase: NA
-
The Effect of Injection Rate of Local Anesthetic in Caesarean Section
NCT05091294 ·Status: COMPLETED ·Phase: NA
-
Remifentanil for General Anesthesia in Preeclamptics
NCT00567957 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Ephedrine vs. Norepinephrine on Prevention of Fetal Acidosis During Cesarean Section Under Spinal Anesthesia
NCT06921473 ·Status: COMPLETED ·Phase: PHASE4
-
Dose Low Dose Ketamine in Casesarian
NCT06237569 ·Status: NOT_YET_RECRUITING
-
Hyperbaric Prilocaine 2% vs Hyperbaric Bupivacaine 0.5% in Caesarean Section
NCT06680167 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Evaluation of Copeptin Levels in Elective Cesarean Section With Different Anesthetic Technique
NCT03536910 ·Status: COMPLETED ·Phase: NA
-
Dose-response Study of Spinally Administered Ropivacaine for Caesarean Section in Tall Parturients
NCT03936790 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Effect of Vasopressors on Spinal Anaesthesia Induced Hypotension
NCT03163914 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Preoperative Coffee Consumption in Cesarean Sections Under Spinal Anesthesia
NCT05262933 ·Status: COMPLETED
-
General or Spinal Anesthesia for Cesarean Delivery
NCT05727449 ·Status: COMPLETED