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IRCT20120915010841N15 IRCT 2019-03-27 Hamedan University of Medical Sciences Spinal anesthesia in L3-L4 and L4-L5 on sensory- motor block and Hemodynamic state in cesarean section Comparison of spinal anesthesia in L3-L4 and L4-L5 on sensory- motor block and Hemodynamic state in cesarean section 2019-03-11 anticipated 70 Complete https://irct.ir/trial/38340 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: In this study , a randomized block design with four replications is used. we provide four paper sheets . We write two letters A and on two other sheets of letter B. We mix the papers together and put them in the drawer of the table.With each of the qualified patients, one of the papers is taken out randomly and will be assigned to one of the two groups, anesthesia at the level of L3-L4 or L4-L5, depending on whether the drawn sheet is either A or B. After the random drawn out of four sheets, all the papers will be returned to the drawer and again the above procedure will continue for the next four patients until it reaches the sample volume, Blinding description: In both groups, the patient and the anesthetist nurse who entered the information in the questionnaire, none of the level of SCI performed by the anesthetist was unaware. In addition, the analyzer will not know the results of encoding the intervention and comparison groups. N/A Spinal anesthesia in cesarean section. Intervention 1: Intervention group: Patients undergoing cesarean section under spinal anesthesia in L3-L4 space. Intervention 2: Control group: Patients who underwent cesarean section under spinal anesthesia in L4-L5 space. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Because the study is not finished yet.
public Nahid Manouchehrian
Fatemieh Hospital, Pasdaran Street
Hamadan Iran (Islamic Republic of) 6517789971 +98 81 3827 7012 manuchehriann@gmail.com Hamedan University of Medical Sciences scientific Nahid Manouchehrian
Pasdaran Street
Hamadan Iran (Islamic Republic of) 6517789971 +98 81 3827 7012 manuchehriann@gmail.com Hamedan University of Medical Sciences Iran (Islamic Republic of) parturients aged 18 to 45 years old Candidates for cesarean section under spinal anesthesia ASA Physical Class 1 and 2 18 years 45 years Female Heart disease Hypertension Eclampsia & pre-eclampsia Diabetes Those who are reluctant to continue to participate in the study Patients who have failed spinal anesthesia and undergo general anesthesia Spinal anesthesia Contraindications (High ICP, coagulation problems, shock, anemia) o74.6 Other complications of spinal and epidural anaesthesia during labour and delivery Prevention Prevention Intervention group: Patients undergoing cesarean section under spinal anesthesia in L3-L4 space. Control group: Patients who underwent cesarean section under spinal anesthesia in L4-L5 space. Maximum sensory leveL. Timepoint: Every minute to 5 minutes. Method of measurement: Determination of sensory level by needle (Pinprick). Onset time of sensory block. Timepoint: Every minute until the sensory block is fixed. Method of measurement: In minutes using the clock. Systolic and Diastolic Blood Pressure. Timepoint: Every two minutes for 10 minutes and then every 10 minutes to 60 minute. Method of measurement: Non-invasive automatic barometric device. Heart Rate. Timepoint: Every two minutes for 10 minutes and then every 10 minutes to 60 minute. Method of measurement: Non-invasive automatic barometric device. Nausea and Vomiting. Timepoint: after delivery. Method of measurement: View and ask the patient. Need for ephedrine. Timepoint: End of surgery. Method of measurement: Calculate consumed ephedrine. Need for atropine. Timepoint: End of surgery. Method of measurement: Calculate consumed atropine. Hamedan University of Medical Sciences Approved 2019-03-09 Ethics Committee of Hamadan university of medical sciences Mahdieh Street Hamadan Hamadan Iran (Islamic Republic of)