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Regional Hemodynamic Parameter Changes After Spinal Anesthesia

M

Marmara University

Status

Completed

Conditions

Spinal Anesthesia Evaluation

Treatments

Diagnostic Test: Pulsed Wave Doppler USG examination

Study type

Observational

Funder types

Other

Identifiers

NCT05332379
09.2021.1406

Details and patient eligibility

About

Spinal anesthesia is a regional anesthesia method used for surgical procedures generally involving the lower abdominal area, perineum, and lower extremities. Various tests are performed to evaluate the block level after spinal anesthesia, incluyding pinprick test, cold application, and motor examination. These tests are performed to check whether the pain, sympathetic and motor nerve fibers are affected, respectively, after the block; and good communication with the patient is important here. However, it is extremely difficult to evaluate these tests in pediatric, geriatric, mentally retarded or uncooperative patients.

Sympathectomy can be used as a criterion to evaluate the success of the block that occurs after the spinal anesthesia procedure. Sympathetic nerve fibers are the first to be affected by the block, and the success of the block can be evaluated with the revealed sympathectomy. Sympathectomy in the lower extremities after spinal block increases arterial blood flow. This increase in blood flow can be detected by the Pulsed Wave Doppler feature of USG.

Enrollment

35 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Elective surgery under spinal anesthesia
  • American Society of Anesthesiologists (ASA) I-II physical status

Exclusion criteria

  • Contraindication for spinal anesthesia
  • ASA physical status >II
  • Vasoactive drug usage

Trial contacts and locations

1

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Central trial contact

Ruslan Abdullayev

Data sourced from clinicaltrials.gov

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