Prevention of Maternal Hypotension During Elective Caesarean Section Performed With Spinal Anaesthesia, Through Intermittent Pneumatic Compression System in the Lower Extremities

P

Parc de Salut Mar

Status

Completed

Conditions

Hypotension

Treatments

Procedure: Elective caesarean section under spinal anaesthesia.

Study type

Interventional

Funder types

Other

Identifiers

NCT01891175
CAESAREANFENI

Details and patient eligibility

About

The hypotension defined as 20 % less than the basal SBP (systolic blood pressure)and / or an absolute value <90-100 mmHg, he presents an incident of 80-85% after an anesthesia intradural in the pregnant women, fact that worries for provoking undesirable effects so much in the mother and as in the fetus /newborn baby. The purpose of this study is to determine the effectiveness of intermittent pneumatic compression system in the lower extremities in order to reduce the vasopressors drugs requirements to maintain hemodynamic stability in pregnant women undergoing elective caesarean sections with an spinal anaesthesia.

Enrollment

120 patients

Sex

Female

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Pregnant women over 18 years scheduled for elective caesarean section in the third quarter of the pregnancy. Inform Consent signed.

Exclusion criteria

  • Caesarean section urgent / emergent
  • Caesarean section with epidural anaesthesia
  • Caesarean section of multiple pregnancies
  • Obstetric Pathology: Preeclampsia, Eclampsia, HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), Small for gestational age (SGA), preterm (<32 weeks)
  • Valvular heart disease and / or ischemic
  • High blood pressure diagnosed and in treatment.
  • Sepsis
  • Morbid obesity (BMI> 40)
  • Insulin-dependent diabetes
  • Block level achieved with spinal anaesthesia> T5
  • Patients that can not meet the study protocol

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

120 participants in 2 patient groups

Intermittent pneumatic compression
Experimental group
Description:
With intermittent pneumatic compression of the lower extremities (Covidien / Kendall SCD ™ sequential compression systems) plus phenylephrine perfusion (usual treatment)in elective caesarean section under spinal anaesthesia.
Treatment:
Procedure: Elective caesarean section under spinal anaesthesia.
Only pheniyephrine perfussion
Active Comparator group
Description:
No intermittent pneumatic compression of the lower extremities in elective caesarean section under spinal anaesthesia.
Treatment:
Procedure: Elective caesarean section under spinal anaesthesia.

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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