The Pleth Variability Index and Hypotension at Caesarean Under Spinal.
Can Changes in the Pleth Variability Index be Used to Predict Significant Hypotension During Spinal Anaesthesia for Caesarean Section?
1 other identifier
observational
17
1 country
1
Brief Summary
During a caesarean section the blood pressure is usually measured every few minutes and it may fall too quickly to be detected in a timely fashion by this intermittent means. The monitor the Masimo Rainbow SET® (MRS) uses a peg attached to a finger to detect (amongst other things) the flow of blood through it. One of the measures it takes is called the Pleth Variability Index (PVI) which (unlike standard blood pressure measurement) it measures continuously. The investigators would like to try the MRS on patients to see if the PVI can be used to predict falls in blood pressure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jun 2014
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2014
CompletedFirst Submitted
Initial submission to the registry
October 31, 2014
CompletedFirst Posted
Study publicly available on registry
November 7, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedMay 27, 2015
May 1, 2015
6 months
October 31, 2014
May 26, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
The primary outcome is the Pleth Variability Index change prior to a 20% fall in systolic blood pressure during spinal anaesthesia for a caesarean section.
intraoperative
Eligibility Criteria
Patients with a singleton uncomplicated pregnancy presenting for elective caesarean section under spinal anaesthesia where surgery and anaesthesia are anticipated to be uncomplicated.
You may qualify if:
- Patients with a singleton uncomplicated pregnancy presenting for elective caesarean section under spinal anaesthesia where surgery and anaesthesia are anticipated to be uncomplicated.
You may not qualify if:
- Age under 18
- Conditions which may impair the ability of the technology to read accurately such as:
- Reduced peripheral perfusion e.g. Raynaud's phenomenon
- Circulating pigments e.g. bilirubin
- Nail varnish that cannot be removed
- Diseases of pregnancy: e.g. pregnancy induced hypertension
- Significant coexisting maternal disease - e.g. congenital heart disease
- Inability to speak fluent English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Jessop Wing Hospital
Sheffield, South Yorkshire, S10 2SF, United Kingdom
Study Officials
- PRINCIPAL INVESTIGATOR
Ian Wrench, Dr
Sheffield Teaching Hospitals NHS Foundation Trust
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 31, 2014
First Posted
November 7, 2014
Study Start
June 1, 2014
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
May 27, 2015
Record last verified: 2015-05