The Influence of Leg Elevation on Noradrenaline Requirements During Cesarean Delivery

Cairo University (CU)

Status: Completed

Conditions: Hypoperfusion; Spinal Hypotension

Treatments: Device: Leg elevation

Study type: Interventional

Funder types: Other

Identifiers

NCT06822699

leg elevation and noradrenalin

Details and patient eligibility

About

Spinal anesthesia is a widely chosen technique in obstetric theaters due to several advantages, however sympathetic block results in hypotension that carry several consequences on maternal and fetal health, thus early prediction and management takes high priority. in this regards recent recommendations suggest the use of prophylactic vasopressors like noradrenaline, researchers of this study aimed to explore the impact of leg elevation on prophylactic noradrenaline dose

Full description

after spinal anesthesia, patients will be randomly allocated into 2 groups : Leg elevation group and control group.

noradrenaline will be used as variable infusion starting from 0.05 microgram/kg/min up to 0.14 microgram /kg/minute.

noradrenaline infusion will be continued till delivery of the baby

Enrollment: 80 patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• full term
• singleton pregnancy
• ASA II

Exclusion criteria

• decline to participate
• baseline SBP <100 mmHg
• failed spinal anesthesia
• allergy to local anesthetic
• coagulopathy

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 2 patient groups

Leg elevation group

Experimental group

Description:

leg will be elevated 30 degrees immediately after spinal anesthesia

Treatment:

Device: Leg elevation

Control group

No Intervention group

Description:

Legs will remain supine after spinal anesthesia