Different Approaches of Spinal Anesthesia in Patients Undergoing Cesarean Section
NCT05637645 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2022-12-09
Summary
The goal of this clinical trial is to compare different approaches of spinal anesthesia in pregnant females who are having cesarean section. The main aim is
• Which approach is better in terms of avoiding intraoperative and post operative complications
Participants will be given anesthesia by
1. Midline approach
2. paramedian approach
3. Taylors approach
Conditions
- Post-Dural Puncture Headache
- Hypotension
- Spinal Shock
- Hematoma
- Bradycardia
- Meningitis
- Respiratory Failure
Interventions
- PROCEDURE
-
Midline Approach
In the midline approach, the spinal approach to the intrathecal space is midline with a straight line shot. After infiltration with lidocaine, the spinal needle is introduced into the skin, angled slightly cephalic. The needle traverses the skin, followed by subcutaneous fat. A single dose of 12.5mg of 0.5% bupivacaine (preservative free) will be used for the spinal anesthetic, the effects of this will last approximately 2 hours.
- PROCEDURE
-
Paramedian Approach
The paramedian approach involves inserting the spinal needle 1 cm away from the midline in medial direction. A single dose of 12.5mg of 0.5% bupivacaine (preservative free) will be used for the spinal anesthetic, the effects of this will last approximately 2 hours.
- PROCEDURE
-
Taylors approach
his arm will have the procedure of spinal anesthetic performed via 'Taylor's approach' which is a paramedian approach to interspace L5 - S1. A single dose of 12.5mg of 0.5% bupivacaine (preservative free) will be used for the spinal anesthetic, the effects of this will last approximately 2 hours.
Sponsors & Collaborators
-
Bahawal Victoria Hospital Bahawalpur
lead OTHER
Principal Investigators
-
Muhammad Ali Fayyaz, MBBS, BSC · Bahawal Victoria Hospital Bahawalpur
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 50 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-11-22
- Primary Completion
- 2022-12-31
- Completion
- 2023-01-31
Countries
- Pakistan
Study Locations
More Related Trials
-
Impact of Pre-spinal Atropine on Post Spinal Hemodynamics and Cardiac Output Measured by Electrical Cardiometry in Caesarean Delivery
NCT05658380 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Hypotension During Spinal Anaesthesia for C-section
NCT05427968 ·Status: COMPLETED
-
Factors Associated With Failed Spinal Anesthesia for Cesarean Delivery
NCT04685980 ·Status: COMPLETED
-
Median and Paramedian Anesthesia in Cesarean Section
NCT04617249 ·Status: UNKNOWN ·Phase: NA
-
Maternal Care Bundle to Attenuate Hypotension in Cesarean Section
NCT05468125 ·Status: UNKNOWN ·Phase: NA
-
Changes in Cardiac Output During Cesarean Delivery Under Spinal Anesthesia
NCT05269537 ·Status: COMPLETED
-
Factors Influencing Bradycardia During Spinal Anesthesia in Obstetric Patients Undergoing Cesarean Section
NCT07049705 ·Status: ACTIVE_NOT_RECRUITING
-
Minimally Invasive Lumbar Aneasthesia Used for Cesarean Section
NCT02987192 ·Status: UNKNOWN ·Phase: NA
-
Intravenous Dexmedetomidine in Cesarean Section Under Spinal Anesthesia
NCT04358367 ·Status: COMPLETED ·Phase: PHASE3
-
Hyperbaric Prilocaine 2% vs Hyperbaric Bupivacaine 0.5% in Caesarean Section
NCT06680167 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Hemodynamic Effects of Low Dose Spinal Anesthesia for Cesarean Section
NCT02036697 ·Status: TERMINATED ·Phase: NA
-
Association Between Preoperative Shock Index and Hypotension After Spinal Anaesthesia for Non- Elective Caesarean Section
NCT04692870 ·Status: COMPLETED
-
The Effect of Different Altitude Levels on Spinal Anesthesia in Cesarean Section Surgery
NCT05715476 ·Status: COMPLETED ·Phase: NA
-
Can Passive Leg Raise Prevent Spinal Anesthesia-induced Hypotension During Cesarean Section?
NCT04673253 ·Status: COMPLETED ·Phase: NA
-
Non Invasive Haemodynamics in Neuraxial Anaesthesia Hypotension
NCT03653442 ·Status: COMPLETED
-
Tranexamic Acid in Patients for Caesarian Delivery.
NCT05759156 ·Status: COMPLETED ·Phase: NA
-
The Effect of Intraoperative Hypotension on Postoperative Cognitive Functions in Cesarean Section Operations
NCT05843838 ·Status: RECRUITING ·Phase: NA
-
Norepinephrine to Prevent Hypotension in Ceasrean Delivery
NCT05248932 ·Status: COMPLETED ·Phase: PHASE4
-
Combined Spinal-epidural Anesthesia for Cesarean Section Without Prophylactical Prehydration and Vasopressors
NCT03497364 ·Status: UNKNOWN ·Phase: NA
-
Low Dose Spinal Anesthesia in Cesarean Surgery
NCT02563795 ·Status: COMPLETED
-
Perfusion Index Predicts Post-spinal Hypotension in Obese Parturients for Cesarean Section
NCT04186091 ·Status: COMPLETED
-
Dexamethasone Intravenous Versus Intrathecal in Spinal Anesthesia
NCT05470530 ·Status: COMPLETED ·Phase: PHASE1
-
Incidence of Complications Associated With Anesthesia in Multiple Gestation Undergoing Cesarean Delivery
NCT02846129 ·Status: COMPLETED
-
Presence of the Father During Hyperacute Cesarean Section in General Anesthesia
NCT04948892 ·Status: COMPLETED
-
Intrathecal Dexmedetomidine With Bupivacaine for Spinal Anesthesia in Cesarean Section
NCT02365857 ·Status: COMPLETED ·Phase: PHASE4