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Spinal anaesthesia for elective caesarean section is associated with maternal hypotension, secondary to alteration of sympathetic tone and hypovolemia, in up to 70% of cases.
Our objective, in this prospective single-centre observational study, was to assess the ability of change in systolic ejection volume after 45° passive leg raising to predict hypotension after spinal anaesthesia. Systolic ejection volum was monitored with non-invasive Clearsight Device just before elective caesarean section in third trimester pregnant women.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Third trimester pregnant women undergoing ceasarean section |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clearsight monitoring | Device | Non invasive hemodynamic monitoring using a finger cuff Cardiac ultrasound performed to calculate Velocity - Time - integral (VTI) Both intervention are performed before and after a passive leg raising challenge. |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic Ejection volume (mL) | Systolic ejection volume is measured using Clearsight (non invasive monitoring device) | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Velocity - Time - Integral (cm) | Velocity - Time - Integral is measured using transthoracic cardiac ultrasound | 30 minutes |
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Inclusion Criteria:
Exclusion Criteria:
Only pregmant women
prospective inclusion of 3 rd trimester pregnant women undergoing spinal anesthesia for elective ceasarean section
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Departement anesthesie reanimation hopital nord | Marseille | 13015 | France |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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