Effect of Intra-abdominal Pressure to the Level of the Sensory Block at Caesarean Section Under Spinal Anesthesia

NCT ID: NCT02237092

Last Updated: 2019-01-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

196 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2013-06-30

Brief Summary

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It is known that an increase in intra-abdominal pressure (IAP) causes a decrease in the volume of cerebrospinal fluid in the lumbar and lower thoracic region, which may contribute to the development of more high spinal block.

Detailed Description

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There is a hypothesis, the higher the level of intra-abdominal pressure, the greater the likelihood of developing a high-level (=\>Th4) sensor block.

Conditions

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Obstetric Anesthesia Problems High-Risk Pregnancy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Measurement of IAP

The data obtained are in inches of water column were translated in millimeters of mercury.

Group Type EXPERIMENTAL

Measurement of IAP

Intervention Type PROCEDURE

The level of intra-abdominal pressure was measured via a Foley catheter through the urinary bladder. After the introduction of a 30 mL of warm saline. Measurement of the water column in the system was made from the zero level to the mid-axillary line, for 10 minutes, after quiet breathing pregnant at the time of expiration.

Interventions

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Measurement of IAP

The level of intra-abdominal pressure was measured via a Foley catheter through the urinary bladder. After the introduction of a 30 mL of warm saline. Measurement of the water column in the system was made from the zero level to the mid-axillary line, for 10 minutes, after quiet breathing pregnant at the time of expiration.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Gestational age 36 - 40 weeks
* Singleton pregnancies
* Elective caesarean section

Exclusion Criteria

* Gestational age \<= 35 weeks
* Twins pregnancies
* Disease the cardiovascular system (hypertension, etc.)
* Non-elective caesarean section
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Tver Regional Perinatal Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexandr Ronenson, PhD student

Role: PRINCIPAL_INVESTIGATOR

Tver Regional Perinatal Center

Sergei Sitkin, DMedSc

Role: STUDY_DIRECTOR

Tver State Medical Academy

Locations

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Tver Regional Perinatal Center

Tver', , Russia

Site Status

Countries

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Russia

References

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S. Sitkin, A. Ronenson, J. Savelieva, M. Cherdyntsev. Prediction of high level spinal block in caesarean section. Regional Anesthesia and Pain Medicine. - 2012. - Volume 37. - Sup 1 5. - p. 183.

Reference Type RESULT

Sitkin, S.; Ronenson, A.; Wagle, S.; Saveleva, J. Effect of intra-abdominal pressure of pregnancy for the development of spinal block for cesarean section: 11AP1-10. European Journal of Anaesthesiology. - 2013 - Volume 30. - Sup 51. - p. 167-168.

Reference Type RESULT

Sitkin S., Ronenson A.M., Savelieva J.V., Wagle S. Influence of intra-abdominal pressure (iap) and body mass index (bmi) in pregnancy on the development of spinal block for cesarean section. Regional Anesthesia and Pain Medicine, Volume 38, Number 5, Supplement 1 5, September-October. - 2013. - p. 179

Reference Type RESULT

Related Links

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Other Identifiers

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TR-1

Identifier Type: -

Identifier Source: org_study_id

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