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The aim of this study was to examine the effect of keeping the patient in a sitting position for 1 minute after spinal anaesthesia in elective caesarean operations, primarily on the formation of hypotension and secondarily on nausea-vomiting, the need for ephedrine and the block characteristics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Active Comparator | 12.5 mg 0.5% hyperbaric bupivacaine |
|
| Group 2 | Active Comparator | 10 mg 0.5% hyperbaric bupivacaine |
|
| Group 3 | Active Comparator | 12.5 mg 0.5% hyperbaric bupivacaine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sitting position | Procedure | keeping the patient in a sitting position after spinal anaesthesia |
| |
| Measure | Description | Time Frame |
|---|---|---|
| systolic arterial hypotension | reduction of >25% in the basal systolic arterial pressure | every 3 minutes until the delivery and every 5 minutes until the end of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| sensory block | assesment of the time to reach T12 level with pin prick test | 10 minutes after spinal block |
| ephedrine requirement time | the time to first administration of ephedrine as minutes after spinal block |
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Inclusion Criteria:
Exclusion Criteria:
the study was designed in caesarean section operations
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| ID | Term |
|---|---|
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000077708 | Sitting Position |
| D016683 | Supine Position |
| ID | Term |
|---|---|
| D011187 | Posture |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| supine position |
| Procedure |
keeping the patient in supine position after spinal anaesthesia |
|
| 1 hour after spinal block |
| amount of ephedrine | administrated total ephedrine dosage as mg during surgery | 1 hour after spinal block |
| surgeon and patient satisfaction | 1= poor, 2=fair, 3= good, 4= very good | 24 hours after spinal block |
| motor block | time to Bromage Score 0 after applying spinal block | 24 hours after spinal block |