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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intermittent pneumatic compression | Experimental | With intermittent pneumatic compression of the lower extremities (Covidien / Kendall SCD â„¢ sequential compression systems) plus phenylephrine perfusion (usual treatment)in elective caesarean section under spinal anaesthesia. |
|
| Only pheniyephrine perfussion | Active Comparator | No intermittent pneumatic compression of the lower extremities in elective caesarean section under spinal anaesthesia. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Elective caesarean section under spinal anaesthesia. | Procedure | Patients with scheduled caesarean. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The dose of needed vasopressor (phenylephrine). | From the beginning of caesaria section (usually from 32 to 42 weeks of pregnancy) until the end of the surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Effectiveness of Intermittent pneumatic compression system in order to decrease requirements of vasopressors (Phenylephrine). | Intermittent pneumatic compression system in order to minimise the number of episodes defined as Postoperative nausea and vomiting (POVN) and dizziness associated with hypotension. | From the beginning of caesaria section untill discharge of the recovery room ( a maximum of 4 hours). |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Germans Trias i Pujol | Badalona | Barcelona | 08916 | Spain | ||
| Hospital del Mar |
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| Elective caesarean section under spinal anaesthesia. | Procedure |
|
| Barcelona |
| Barcelona |
| 08003 |
| Spain |
| Hospital Vall d'Hebron Hospital | Barcelona | Barcelona | 08035 | Spain |
| ID | Term |
|---|---|
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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