Comparison of ONSD and rSO2 Measurements Between General and Spinal Anesthesia in C-Section

Bagcilar Training and Research Hospital

Status: Completed

Conditions: Intracranial Pressure Increase

Treatments: Other: Optic Nerve Sheath Diameter Measurement

Study type: Interventional

Funder types: Other

Identifiers

NCT04446013

2020.05.1.16.048

Details and patient eligibility

About

General anesthesia and regional anesthesia can be chosen in cesarean operations. Endotracheal intubation and mechanical ventilation are components of general anesthesia. Endotracheal intubation has been shown to cause increased intracranial pressure. There is not enough information about the effect of spinal anesthesia on intracranial pressure during cesarean operations. Increased intracranial pressure can cause neurological complications by disrupting brain perfusion. For this reason, the investigators think that the safe anesthesia method should be determined especially in pregnant patients who are at risk of increased intracranial pressure.

Enrollment: 81 patients

Sex: Female

Ages: 18 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Undergoing elective c-section operation
• Age between 18-49
• ASA I-II
• Gestational week ≥ 36

Exclusion criteria

• Ophthalmologic disease and optic nerve pathology
• Increased intracranial pressure
• History of cerebrovascular disease
• Cases where spinal anesthesia is contraindicated
• Emergency cesarean category level 1

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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81 participants in 2 patient groups

Group General Anesthesia

Experimental group

Description:

C-Section under general anesthesia

Treatment:

Other: Optic Nerve Sheath Diameter Measurement

Grup Spinal Anesthesia

Experimental group

Description:

C-Section under spinal anesthesia

Treatment:

Other: Optic Nerve Sheath Diameter Measurement