Non-invasive Haemodynamic Monitoring to Predict Spinal Hypotension During Caesarian Section

Hospital Nord

Status: Completed

Conditions: Hypotension; Spinal Anesthetics Causing Adverse Effects in Therapeutic Use; Pregnancy Related

Treatments: Device: Clearsight monitoring

Study type: Observational

Funder types: Other

Identifiers

NCT04608227

Darnord-2020

Details and patient eligibility

About

Spinal anaesthesia for elective caesarean section is associated with maternal hypotension, secondary to alteration of sympathetic tone and hypovolemia, in up to 70% of cases.

Our objective, in this prospective single-centre observational study, was to assess the ability of change in systolic ejection volume after 45° passive leg raising to predict hypotension after spinal anaesthesia. Systolic ejection volum was monitored with non-invasive Clearsight Device just before elective caesarean section in third trimester pregnant women.

Enrollment: 40 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• third trimester pregnant women undergoing elective ceasarean section under spinal anesthesia

Exclusion criteria

• emergent ceasarean section
• eclampsia or pre-eclampsia
• undergoing anti-hypertensive treatment
• arythmia

Trial design

40 participants in 1 patient group

Third trimester pregnant women undergoing ceasarean section

Treatment:

Device: Clearsight monitoring