A Study Comparing Two Spinal Techniques for for Cesarean Delivery Anesthesia
Trial ID or NCT#
The purpose of this study is to compare single shot versus sequential bolus spinal technique via a catheter in patients undergoing Cesarean Section. We aim to determine which technique results in less blood pressure reduction and subsequent vasopressor use. Other study endpoints include the incidence of maternal post dural puncture headaches and nausea and vomiting. In addition blood and CSF will be collected to see if biochemical mediators are related to wound hyperalgesia and healing.
Spinal Anesthesia for Cesarean Delivery: The Wiley Spinal Catheter Intermittent Bolus Technique Versus Single Shot Spinal Anesthesia
- - American Society of Anesthesiologists (ASA) Class I, II patients - 18-45 year of age - Uncomplicated singleton, term pregnancy - Scheduled for Cesarean section
- - ASA class 3 and above - Morbid obesity (BMI>40 kg/m2) - Postpartum tubal ligation after cesarean - Hypersensitivity and/or prior reaction to opioids - Ineffective spinal - Conversion to general anesthesia - Multiple gestation pregnancy - Emergency C-section - Contraindication to regional anesthesia - History of chronic opioid use
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