Leg Elevation for Prevention of Post Spinal Hypotension in Cesarean Section

NCT ID: NCT03488277

Last Updated: 2018-04-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-10

Study Completion Date

2018-12-31

Brief Summary

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Prospective trial including full term parturients scheduled for a cesarean section under spinal anesthesia. patients are being randomly assigned into 2 groups:

LE group: will be positioned in 15° left tilt with leg elevation with a 30cm height pillow under the heels, this position will be hold after spinal anesthesia until fetal extraction.

Control group: will be positioned in supine with 15° left tilt. the 2 groups will receive a 10ml/kg of crystalloid co-load intravenously, and the spinal anesthesia will be performed in sitting position with the same dose of Bupivacain, morphine and sufentanil.

Detailed Description

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Prospective trial including full term parturients scheduled for a cesarean section under spinal anesthesia. patients are being randomly assigned into 2 groups:

LE group: will be positioned in 15° left tilt with leg elevation with a 30cm height pillow under the heels, this position will be hold after spinal anesthesia until fetal extraction.

Control group: will be positioned in supine with 15° left tilt. the 2 groups will receive a 10ml/kg of crystalloid co-load intravenously, and the spinal anesthesia will be performed in sitting position with the same dose of Bupivacain, morphine and sufentanil. we will record the demographic data, pre and intraoperative hemodynamic parameters, the dose of ephedrine required to treat post spinal hypotension and fetal parameters: pH and blood lactates

Conditions

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Effects of; Anesthesia, Spinal and Epidural, in Pregnancy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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LE: leg elevation group

the patients of this group will be positionned in supine with 15° left tilt and will have a leg elevation with a 30 cm pillow positionned under the heels. this position will be hold immediately after spinal anesthesia until fetal extraction

Group Type EXPERIMENTAL

leg elevation

Intervention Type OTHER

intra operative position that consists in leg elevation with a 30 cm height pillow under the patient's heels

CG: Control group

The patients of this group will be positiooned in supine with 15° left tlit after spinal anesthesia. no leg elevation

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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leg elevation

intra operative position that consists in leg elevation with a 30 cm height pillow under the patient's heels

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* full term parturients
* age\> 18 Y
* scheduled of elective or urgent cesarean section under spinal anesthesia

Exclusion Criteria

* patients who had general anesthesia
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Mongi Slim Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mhamed Sami Mebazaa

Professor head of the anesthesia and intensive care department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mhamed Sami Mebazaa, Professor

Role: PRINCIPAL_INVESTIGATOR

Mongi Slim Hospital

Locations

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Mongi Slim Hospital

La Marsa, Tunis Governorate, Tunisia

Site Status RECRUITING

Countries

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Tunisia

Central Contacts

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Mhamed Sami Mebazaa, professor

Role: CONTACT

0021622252589

Asma Ben Souissi

Role: CONTACT

0021698336883

Facility Contacts

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Mhamed Sami Mebazaa, professor

Role: primary

0021622252589

Other Identifiers

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Mater1

Identifier Type: -

Identifier Source: org_study_id

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