Ketamine vs Ephedrine on Post Spinal Hypotension in Caesarean Delivery
Impact of Sub-anaesthetic Dose of Ketamine Versus Ephedrine on Post Spinal Hypotension in Caesarean Delivery
Sponsor study identifier
interventional
100
1 country
1
Study Start
April 1, 2024
Actual (reported)Primary Completion
September 1, 2024
Actual (reported)Study Completion
September 15, 2024
Actual (reported)Comparing ketamine and ephedrine to decrease the incidence of post spinal hypotension after caesarean section delivery.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 15, 2024
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
April 1, 2024
Actual (reported)September 1, 2024
Actual (reported)September 15, 2024
Actual (reported)June 15, 2025
Actual (reported)June 24, 2025
Actual (reported)Incidence of hypotension post spinal in CS
For ketamine Group: women receiving sub-anesthetic dose of ketamine of 0.5 mg/kg IV bolus in 3 ml of normal saline. ( Reves JG et al,2010 ) * For ephedrine Group: women receiving bolus of 15mg of ephedrine * All the patients will receive 2 mg midazolam IV directly after delivery of the fetus.( Perumal DK et al ) * Heart Rate (HR) and Mean Arterial Blood Pressure (MAP) will be recorded at baseline 5 minutes prior to the intrathecal injection and 5 minutes, 10 minutes, 15 minutes, and 20 minutes after the injection and then every 15 minutes till the end of the operation. * Incidence of hypotension will be recorded which is defined as MAP less than 20% below the baseline or was ≤ 65 mmHg. Incidence of severe hypotension ≤ 50 mmHg will be recorded.
From injection till the end of surgery
0.5mg/kg ketamine
15 mg ephedrine
women receiving sub-anesthetic dose of ketamine of 0.5 mg/kg IV bolus in 3 ml of normal saline.
women receiving bolus of 15mg of ephedrine
Ainshams University
Cairo, 11111, Egypt
Basant E Mohamed, M.B.B.CH
Anesthesia resident Alain Shams University
100 participants (actual enrollment reported by the registry).
First Submitted
June 15, 2025
First Posted
June 24, 2025
Study Start
April 1, 2024
Actual (reported)Could Ephedrine Replace Dexmedetomidine Fordexmedetomidine Prevention of Shivering in Women Undergoing Cesarean Section Under Spinal Anaesthesia
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Primary Completion
September 1, 2024
Actual (reported)Study Completion
September 15, 2024
Actual (reported)Last Updated
June 24, 2025
Record last verified: 2024-03
All data will be shared
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Source: ClinicalTrials.gov.
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