Propofol Spinal Procedural Sedation for Cesarean Section

• Status: Completed
• Trial end date: 2018-09-10
• Target enrollment: 0
• Participant gender: Female

Summary

Patient's safety and satisfaction are major concerns of anesthesiologists and obstetricians. According to evidence, guidelines and quality markers, regional anesthesia is preferred over general anesthesia in obstetric surgery. A high level of anxiety is present in obstetric patients preoperatively. Patients with high anxiety tend to prefer general anesthesia for cesarean section. The anxiety can be reduced variably by non-pharmacologic and pharmacologic methods. The evidence supports the benefits of procedural sedation for distressed, anxious pregnant women.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Mansoura University
• Treatments: Propofol

Criteria

Inclusion Criteria:

• Patients scheduled for elective cesarean section,

• Age: 18 - 40 years,

• American Society of Anesthesiologists I - III,

• Patients may present any of the following conditions:

• Respiratory diseases as bronchial asthma

• Hepatic compromise,

• Preeclampsia,

• Anemia with hemoglobin 10 g/dl,

• Previous sections,

• Obese with BMI more than 35%,

• Any criteria of difficult intubation, Compromised fetus as premature delivery, History of complications or non-satisfaction after general anesthesia during previous cesarean section,

Exclusion Criteria:

• Patients refusing to participate in the study,

• Known psychiatric disease,

• Addiction medications,

• Communication barrier,

• Absolute or relative contraindication for spinal anesthesia,

• Bad obstetric history, complicated pregnancy, congenital fetal anomaly.