Supine hypotensive syndrome often occurs following spinal anesthesia for cesarean delivery.In our study we base the regulation and drug administration both on the regular monitor and on a novel monitor which reflects upon the hemodynamic changes. Our aim is to observe whether the outcome of SHS patients with anesthesia management based on hemodynamic figures differs from those based on experience.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
60
According to the illustration of the patient's hemodynamic figures shown on the LiDCOrapid monitor, we decide on the timing of the vasopressor administration. This group aims to maintain the cardiac output within a baseline range.
China Medical University
Shenyang, Liaoning, China
RECRUITINGUmbilical arterial blood gas PH
The value is tested immediately after the blood sample is achieved after the infant is born.
Time frame: 30minutes
Discomfort Score
we explored a scoring system to quantify the SHS symptom scale from 0 to 8, score high means more symptoms of SHS occurred
Time frame: 1day
total vasopressor dosage
total vasopressor given during the time span between the operation began to the baby was delivered
Time frame: 30 minutes
Umbilical blood gas lactate
The value is tested immediately after the blood sample is achieved after the infant is born.
Time frame: 30minutes
Time span
the period between the operation began to the baby was delivered
Time frame: 2 hours
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