NCT05427968

Comparison of Hypotension During Spinal Anaesthesia for C-section

To Tilt or Not to Tilt?: Comparison of Severity of Hypotension Between Supine and Left Tilt Position During Spinal Anesthesia for Elective C-section

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 38 (actual)
• Sponsor: Rawalpindi Medical College · Academic / Other
• Sex: Female
• Age: —
• Healthy volunteers: Not accepted

Summary

Maternal hypotension during C section has been reported due to aortocaval compression (ACC) by full term uterus in supine position. This study aimed at reporting the effect of left tilt on maternal hemodynamics.

Detailed description

C-section is usually done in either general anesthesia or regional (epidural or spinal) anesthesia. The choice lies with the mother. In spinal anesthesia the anaesthetic agent is injected into the subarachnoid space. Hypotension in supine position that is associated with full term gravid uterus has been explained by compression of inferior venacava (IVF) and aorta. This aortocaval compression (ACC) can also cause hypotension during C- section after spinal block. The aim of our study was to study the effect of left tilt on systolic (SBP) and diastolic blood pressure (DBP), heart rate and the frequency of phenylephrine used to maintain the blood pressure in normal range.

Conditions

• Hypotension
• Cesarean Section
• Aortocaval Compression

Timeline

• Start date: 2021-12-01
• Primary completion: 2022-02-01
• Completion: 2022-02-01
• First posted: 2022-06-22
• Last updated: 2022-06-22

Locations

1 site across 1 country: Pakistan