Hemodynamic Monitoring in Obstetrics
NCT03755271 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 148
Last updated 2018-11-27
Summary
Spinal anesthesia has long been considered the first choice technique in caesarean section, but although it is a reliable and safe procedure, it is in some cases associated with undesirable effects. Maternal hypotension after sub-arachnoid anesthesia is a reduction in systolic blood pressure below 100 mmHg or a decrease of 20% compared to baseline values. According to some authors, maternal hypotension occurs up to 80% in women undergoing caesarean section after spinal anesthesia. In order to reduce the incidence of maternal hypotension, some measures can be taken:
* a reduction of aorto-caval compression by manual displacement of the uterus on the left;
* hemodynamic monitoring;
* administration of fluids;
* optimization of the dosage of the local anesthetic;
* use of vasopressors.
The main objective of the study is to investigate, through the use of a continuous non-invasive hemodynamic monitoring system (Clearsight® - Edwards Lifesciences), the incidence of hypotension in pregnant women at risk undergoing spinal anesthesia due to elective cesarean section.
Conditions
Sponsors & Collaborators
-
Marinella Astuto
collaborator UNKNOWN -
Carmelo Minardi
collaborator UNKNOWN -
Mirko Mineri
collaborator UNKNOWN -
Francesco Vasile
collaborator UNKNOWN -
Gaetano Joseph Palumbo
collaborator UNKNOWN -
University of Catania
lead OTHER
Principal Investigators
-
Paolo Murabito, MD · University of Catania
-
Marinella Astuto, MD · University of Catania
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-03-02
- Primary Completion
- 2018-07-20
- Completion
- 2018-07-20
Countries
- Italy
Study Locations
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