CHU Mohammed VI
Marrakesh, 40000, Morocco
NCT Number: NCT06357637
The goal of this observational study is to evaluate preoperative measures of abdominal circumference in patients admitted for a cesarean section. The main questions it aims to answer are:
* Can preoperative abdominal circumference predict patients with difficult spinal anesthesia * Can preoperative abdominal circumference predict the occurrence of maternal hypotension during cesarean section Participants will be examined preoperatively in terms of visibility and palpation of spinous processes, abdominal circumference will be measured in the supine and sitting positions with other clinical parameters. Spinal anesthesia will be performed by the same experienced anesthesiologist with a standardized procedure. The number of skin punctures, needle reorientations, traumatic Cerebrospinal fluid, need for a paramedian approach or failure will be recorded. Maternal blood pressure and vasopressor requirements will also be monitored.
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Notify Me18 year and older
Female
Observational
Marrakesh, 40000, Morocco
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Measure of abdominal circumference preoperatively in both sitting and lying position
Time frame: During surgery
More than two needle reorientations in the first puncture or more than one skin puncture
Time frame: The first hour after spinal anesthesia is performed
Systolic blood pressure below 90 mmHg or a drop of more than 20% of base value
CHU Mohammed VI Marrakech
Other
Preoperative Measurement of Abdominal Circumference as a Predictor of Difficult Spinal Anesthesia and Maternal Hypotension During Caesarian Section
Acronym: ACirCuS
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