Comparison of the Hemodynamic Effect of Three Positions During Induction of Anesthesia
NCT03996213 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 123
Last updated 2019-06-25
Summary
The most common methods for prevention of post-induction hypotension are preoperative fluid loading and vasopressors. Leg elevation induces an intrinsic transfusion of 150 mL blood from the lower limbs to the central fluid compartment. Leg elevation was previously reported by our group to decrease the incidence of maternal hypotension after spinal anesthesia for caesarean delivery. Passive leg raising was also reported to provide a stable hemodynamic profile during induction of anesthesia for cardiac surgery. Head-down position was previously reported as a useful measure for management of hypovolemia in various patient groups. No studies to the best of our knowledge had evaluated the compare both positions (leg elevation position and head-down position) during induction of anesthesia in non-cardiac surgery
Conditions
- Post-induction Hypotension
Interventions
- OTHER
-
head down position
Head-down position will be achieved by 30 degrees tilting of the whole operating table 1-minute before induction of anesthesia. The position will be maintained for 15 minutes after induction of anesthesia
- OTHER
-
leg elevation position
Leg elevation position will be achieved by raising the patient legs for 30 cm using two standard pillows positioned under the heels 1-minute before induction of anesthesia. The position will be maintained for 15 minutes after induction of anesthesia
Sponsors & Collaborators
-
Cairo University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-07-31
- Primary Completion
- 2019-10-31
- Completion
- 2019-10-31
Countries
- Egypt
Study Locations
More Related Trials
-
Effect of Position During Spinal Anesthesia on Hemodynamic Change in Cesarean Section
NCT02253381 ·Status: COMPLETED ·Phase: NA
-
Predictive Hemodynamic Monitoring During Elective Cesarean Section
NCT06729827 ·Status: COMPLETED ·Phase: NA
-
Can Passive Leg Raise Prevent Spinal Anesthesia-induced Hypotension During Cesarean Section?
NCT04673253 ·Status: COMPLETED ·Phase: NA
-
Prediction of Hypotension During Cesarean Delivery Using Positional Change of Hemodynamic Parameters
NCT05685212 ·Status: COMPLETED
-
Predicting Hypotension Related to Spinal Anesthesia
NCT01279889 ·Status: COMPLETED
-
The Severity Of Hypotension Comparing Three Positions During Spinal Anesthesia For Cesarean Delivery
NCT02146898 ·Status: COMPLETED ·Phase: NA
-
Comparison of Maternal Hemodynamics During Spinal Anesthesia with Different Cesarean Delivery Positioning
NCT06857162 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Effect of Two Different Doses of Noradrenaline on Hypotension Caused by Spinal Anesthesia for Cesarean Section
NCT06102382 ·Status: RECRUITING ·Phase: NA
-
Preloading to Prevent Hypotension During Cesarean Section
NCT03013140 ·Status: COMPLETED ·Phase: NA
-
Phenylephrine and Hypotension During Spinal Anesthesia for Cesarean Section
NCT02958215 ·Status: COMPLETED ·Phase: PHASE2
-
Prediction of Maternal Arterial Hypotension After Spinal Anesthesia by Passive Leg Raise Test.
NCT05133271 ·Status: COMPLETED ·Phase: NA
-
Leg Wrapping and Norepinephrine for Prevention of Post Spinal Hypotension in C.S
NCT06496061 ·Status: COMPLETED ·Phase: PHASE4
-
Hemodynamic Effect of Left Tilting in Cesarean Delivery
NCT03181776 ·Status: UNKNOWN ·Phase: NA
-
Comparing Sitting Versus Lateral Position During Spinal Anesthesia on the Severity of Hypotension:
NCT06149572 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Norepinephrine Addition in Spinal Anesthesia of Caesarean Section
NCT03626454 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Non-invasive Blood Pressure Measured at the Ankle During Cesarean Delivery Compared to the Arm
NCT04199156 ·Status: COMPLETED
-
Norepinephrine to Prevent Hypotension in Ceasrean Delivery
NCT05248932 ·Status: COMPLETED ·Phase: PHASE4
-
Warming IV Fluids and Incidence of Hypotension
NCT02582112 ·Status: COMPLETED ·Phase: PHASE1
-
Colloid Pre-Loading on D-Dimer During Cesarean Section Under Spinal Anesthesia
NCT02622126 ·Status: COMPLETED ·Phase: PHASE2
-
The Effects of Keeping the Patient in a Sitting Position for One Minute After Spinal Anesthesia
NCT03834259 ·Status: COMPLETED ·Phase: NA
-
Comparison of Hypotension During Spinal Anaesthesia for C-section
NCT05427968 ·Status: COMPLETED
-
Variability of Perfusion Index to Predict Hypotension
NCT06769750 ·Status: COMPLETED ·Phase: NA
-
Colloid Co-hydration and Vasoconstrictor Infusion for Prevention of Hypotension During Cesarean Section
NCT04404946 ·Status: COMPLETED ·Phase: NA
-
ED90 of Norepinephrine and Phenylephrine Infusions Under Intensive Treatment
NCT06158048 ·Status: COMPLETED ·Phase: NA
-
The Effect of HPI to Reduce Intraoperative Hypotension in Caesarean Sections
NCT06892665 ·Status: RECRUITING ·Phase: NA