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
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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
80
leg will be raised 30 degrees after spinal anesthesia using standardized pillow
Cairo University
Cairo, Giza Governorate, Egypt
Average noradrenaline requirements
average noradrenaline requirements in both groups (mcg/kg/min)
Time frame: baseline to delivery of the baby
Total noradrenaline requirements
Time frame: baseline to delivery
incidence of spinal hypotension
Time frame: baseline to delivery
incidence of severe hypotension
Time frame: baseline to delivery
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