COMPARISON BETWEEN EFFICACY OF NOREPINEPHRINE AND PHENYLEPHRINE BOLUSES for PREVENTION OF SPINAL ANAESTHESIA INDUCED HYPOTENSION IN OBSTETRICAL PATIENTS UNDERGOING EMERGENCY CESAREAN SECTION-A Double Blind Randomized Controlled Trial
NCT06836986 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 124
Last updated 2025-02-20
Summary
The goal of this clinical trial is to learn if norepinephrine is more effective than phenylephrine for prevention of spinal anesthesia induced hypotension. The main questions it aims to answer are:
Does norepinephrine lower the incidence of spinal anesthesia induced hypotension in emergency obstetrical patients? We will compare effectiveness of norepinephrine and phenylephrine for the prevention of spinal anesthesia induced hypotension.
Participants will:
Be administered prophylactic boluses of both drugs right after spinal anesthesia induction and maternal hemodynamic parameters and neonatal APGAR scores will be recorded
Conditions
- Spinal Anesthesia Induced Hypotension
Interventions
- DRUG
-
Norepinephrine Bolus
Prophylactic norepinephrine bolus of 8 micrograms will be administered right after spinal anesthesia induction. Rescue bolus of norepinephrine 4 micrograms will be administered in case of hypotension.
- DRUG
-
Phenylephrine bolus
Prophylactic phenylephrine bolus of 100 micrograms will be administered right after spinal anesthesia induction. Rescue bolus of phenylephrine 50 micrograms will be administered in case of hypotension.
Sponsors & Collaborators
-
Dow University of Health Sciences
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-12-31
- Primary Completion
- 2025-03-31
- Completion
- 2025-03-31
Countries
- Pakistan
Study Locations
More Related Trials
-
Hypotension Prediction Index to Predict Epidural-labor Analgesia Induced Hypotension
NCT05906368 ·Status: COMPLETED ·Phase: NA
-
Impact of Prophylactic Ephedrine on Fetal Heart Tracing and Uterine Tetanic Contraction After CSE
NCT05873218 ·Status: RECRUITING ·Phase: PHASE4
-
Leg Elevation to Prevent Hypotension During Labor
NCT05674838 ·Status: COMPLETED ·Phase: NA
-
A Comparison Between the Effect of Oxytocin Only and Oxytocin Plus Propranolol on Induction of Labor in Term Pregnancy
NCT03533699 ·Status: UNKNOWN ·Phase: NA
-
Sublingual Oxytocin for the Prevention of Post-partum Hemorrhage
NCT06968481 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Prophylactic Ephedrine and Combined Spinal Epidurals for Labor
NCT02062801 ·Status: COMPLETED ·Phase: PHASE4
-
Association Between Fluid Administration, Oxytocin Administration, and Fetal Heart Rate Changes
NCT02121184 ·Status: TERMINATED ·Phase: NA
-
Prophylactic Oxytocin Before Versus After Placental Delivery to Reduce Blood Loss in Vaginal Delivery
NCT03006380 ·Status: UNKNOWN ·Phase: PHASE2
-
Oxytocin and Fetal Heart Rate Changes
NCT03232918 ·Status: RECRUITING ·Phase: PHASE4
-
The Effect of Low-Dose vs High-Dose Epidural Fentanyl on Gastric Emptying - A Prospective Double-Blinded Randomized Controlled Trial
NCT04202887 ·Status: UNKNOWN ·Phase: NA
-
Cervical Traction vs. Active Management of 3rd Stage of Labor
NCT04747015 ·Status: UNKNOWN ·Phase: NA
-
Investigating the Novel Observation of Right-left Difference in Uterine Artery Vascular Resistance in Pre-eclampsia
NCT00848679 ·Status: WITHDRAWN ·Phase: PHASE3
-
Clinical Efficacy of Prophylactic Intravenous Neostigmine and Atropine in Preventing Post-Dural Puncture Headache Among Parturient Undergoing Spinal Anesthesia for Cesarean Section: A Double-blind Randomized Placebo-controlled Trial
NCT06493838 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Prophylactic Use of Intraumbilical Vein Oxytocin Injection in The Management of Third Stage of Labor
NCT02680938 ·Status: UNKNOWN ·Phase: PHASE1
-
Role of the Single-shot Spinal Analgesia to Control Labour Pain
NCT02800694 ·Status: UNKNOWN ·Phase: NA
-
Oxytocin Via Intramuscular Injection and Intravenous Bolus or Infusion for Prevention of Postpartum Hemorrhage
NCT01914419 ·Status: COMPLETED ·Phase: NA
-
Lignocaine Nebulization for Attenuation of Intubation Stress Response
NCT04441073 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Hyoscine and Promethazine on Labor Pain
NCT01644838 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Continuous Oxytocin Infusion Versus Pulsatile Intravenous Oxytocin for Augmentation of First Stage of Labor
NCT02723461 ·Status: UNKNOWN ·Phase: PHASE4
-
Intramuscular Versus Intravenous Prophylactic Oxytocin for Hemorrhage After Vaginal Delivery
NCT02080104 ·Status: UNKNOWN ·Phase: NA
-
Intraumbilical Oxytocin Versus Placental Cord Drainage in the Management of 3rd Stage of Labor
NCT03395730 ·Status: UNKNOWN ·Phase: PHASE2
-
Compare Efficacy of Oxytocin Administrations on Postpartum Uterine Contractility
NCT02908126 ·Status: TERMINATED ·Phase: PHASE1
-
Meperidine Versus Drotaverine Regarding the Effect on the Duration of the First Stage of Labor in Full Term Primigravidae
NCT01236651 ·Status: UNKNOWN ·Phase: PHASE2
-
Intraumbilical Vein Injection of Oxytocin in Routine Practice for Active Management of the Third Stage of Labor
NCT01094028 ·Status: COMPLETED ·Phase: PHASE3
-
Lower Limb Compression Prevents Hypotension After Epidural in Labor
NCT04750486 ·Status: COMPLETED ·Phase: NA