Unique ID issued by UMIN | UMIN000009850 |
---|---|
Receipt number | R000011476 |
Scientific Title | The effect of lithotomy position on peripheral vascular resistance after spinal anesthesia |
Date of disclosure of the study information | 2013/01/24 |
Last modified on | 2013/01/23 18:51:01 |
The effect of lithotomy position on peripheral vascular resistance after spinal anesthesia
The effect of lithotomy position on peripheral vascular resistance after spinal anesthesia
The effect of lithotomy position on peripheral vascular resistance after spinal anesthesia
The effect of lithotomy position on peripheral vascular resistance after spinal anesthesia
Japan |
ASA physical status 1 or 2 ,undergoing surgery with spinal anesthesia
Anesthesiology |
Others
NO
The perfusion index (PI)is the ratio of the pulsatile blood flow to the nonpulsatile blood flow and static blood in peripheral tissue.this is likely to useful for measuring change in peripheral vascular resistance in real time.It has been reported that the blood flow increases in the lower extremity and decreases in the upper extremity during spinal anesthesia.We hypothesize that PI in upper extremity in lithotomy position induces a smaller decrease compare with that in supine position.We evaluated the influence of position on PI changes in upper extremity and hemodynamics during spinal anesthesia.
Efficacy
Confirmatory
Blood pressure, heart rate and PI were recorded for 20min. Anesthetic level was checked by cold thermal hypesthesia using ice.
Observational
18 | years-old | <= |
Not applicable |
Male and Female
ASA physical status1or2,undergoing surgery with spinal anesthesia
More than ASA phisical status 3, arteriosclerosis obliterans or cesarean section
40
1st name | |
Middle name | |
Last name | Tanabe Kumiko |
Gifu University Hospital
Department of Anesthesiology&Pain Medicine
1-1 Yanagido Gifu-city
058-230-6404
1st name | |
Middle name | |
Last name | Kato Mayumi |
Gifu University Hospital
Department of Anesthesiology&Pain Medicine
1-1 Yanagido Gifu-city
058-230-6404
Gifu University Hospital
Department of Anesthesiology&Pain Medicine
None
Self funding
NO
岐阜大学医学部付属病院(岐阜県)
2013 | Year | 01 | Month | 24 | Day |
Unpublished
Enrolling by invitation
2010 | Year | 10 | Month | 01 | Day |
2010 | Year | 10 | Month | 14 | Day |
ASA physical status 1 or 2 were enrolled in the present study. Pulse oximetry with tissue PI monitor was used. The probes were placed on the left finger and toe, and then spinal anesthesia was performed at the left lateral position. After intrathecal administration of 10-13mg of hyperbaric bupivacine, the patients were returned to the supine position. L-group patients were placed in the lithotomy position soon after the injection of local anesthetics. S-group patients were maintained in the supine position. Blood pressure, heart rate and PI were recorded for 20min. Anesthetic level was checked by cold thermal hypesthesia using ice. Ephedrine 5mg was administrated intravenously against hypotension more than 20% from baseline.
2013 | Year | 01 | Month | 23 | Day |
2013 | Year | 01 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011476