Trials Sponsors Conditions Drugs Pricing

Conditions

Cesarean Sections

Keywords

Thoracic segmental spinal anesthesiaLumbar spinal anesthesiacesarean sectionQuality of recovery

Outcome Measures

Primary Outcomes (1)

Obstetric Quality of Recovery-11 score
Quality of recovery was assessed using the Obstetric Quality of Recovery-11 (ObsQoR-11) questionnaire. Each item is scored from 0 to 10, yielding a total score ranging from 0 to 110, where 110 indicates the best possible recovery and 0 indicates the worst.
Postoperative 24 hours

Secondary Outcomes (3)

Mean arterial pressure
0, 5, 15, 30, 45 minutes intraoperatively
Heart rate
0. - 5. - 15. - 30. - 45. minutes intraoperatively
Time to first mobilization
Up to 24 hours postoperatively

Other Outcomes (2)

Incidence of nausea and vomiting
perioperatively and postoperative first 24 hours
Rate of Post-dural puncture headache
Postoperative 48 hours

Study Arms (2)

Lumbar Spinal Anesthesia

ACTIVE COMPARATOR

Participants in this group will receive conventional spinal anesthesia performed at the lumbar interspace (L3-4 or L4-5). The goal is to achieve a standard sensory block level adequate for cesarean delivery. All procedures will be performed by experienced anesthesiologists under standardized conditions. Intraoperative management, including hemodynamic support and fluid administration, will follow the same institutional protocol as in the thoracic group.

Procedure: Lumbar Spinal Anesthesia

Thoracic Segmental Spinal Anesthesia

EXPERIMENTAL

Participants allocated to this group will receive spinal anesthesia performed at the thoracic interspace (T10-11 or T11-12). The technique will aim to achieve a segmental sensory block sufficient for cesarean delivery while minimizing cephalad spread. Caudal spread of the local anesthetic will be limited in order to avoid unnecessary lower extremity motor block, thereby potentially facilitating earlier postoperative mobilization. All procedures will be performed by experienced anesthesiologists under standardized monitoring conditions. Intraoperative management, including fluid therapy and vasopressor administration, will be standardized according to institutional protocols.

Interventions

Thoracic Segmental Spinal AnesthesiaProcedure

Thoracic Segmental Spinal Anesthesia: Spinal anesthesia will be performed at the thoracic interspace (T10-11 or T11-12) Lumbar Spinal Anesthesia: Spinal anesthesia will be performed at the lumbar interspace (L3-4 or L4-5)

Also known as: Lumbar Spinal Anesthesia

Thoracic Segmental Spinal Anesthesia

Lumbar Spinal AnesthesiaProcedure

Eligibility Criteria

Age18 Years - 45 Years

Sexfemale(Gender-based eligibility)

Gender Eligibility DetailsFemale patients scheduled for cesarean section will be enrolled in the study.

Healthy VolunteersNo

Age GroupsAdult (18-64)

You may qualify if:

Pregnant women scheduled for elective cesarean section

Sponsors & Collaborators

Adiyaman University Research Hospital
Otherlead

Study Sites (1)

Adıyaman University Training and Research Hospital

Adıyaman, Adıyaman Province, 02200, Turkey (Türkiye)

NEZİR YILMAZCONTACT05068939496 yilmaznezir@hotmail.com

Central Study Contacts

NEZİR YILMAZ, Associate Professor

CONTACT

+905068939496 yilmaznezir@hotmail.com

Study Design

Study Type: interventional
Phase: not applicable
Allocation: RANDOMIZED
Masking: SINGLE
Who Masked: OUTCOMES ASSESSOR
Masking Details: Due to the nature of the intervention, the anesthesiologist performing the block cannot be blinded. However, outcome assessment will be conducted by an investigator blinded to group allocation.
Purpose: TREATMENT
Intervention Model: PARALLEL
Sponsor Type: OTHER
Responsible Party: PRINCIPAL INVESTIGATOR
PI Title: Associate Professor

Study Record Dates

First Submitted

April 23, 2026

First Posted

May 5, 2026

Study Start

May 5, 2026

Estimated (date passed)

This estimate has passed. The registry has not confirmed an actual date for this milestone.

Thoracic vs Lumbar Spinal Anesthesia for Cesarean Delivery

Brief Summary

Registry Overview

Trial Relationships

Study Timeline

First Submitted

First Posted

Study Start

Primary Completion

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (3)

Other Outcomes (2)

Study Arms (2)

Lumbar Spinal Anesthesia

Thoracic Segmental Spinal Anesthesia

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (1)

Central Study Contacts

Study Design

Study Record Dates

You may not qualify if:

Source record

Locations

Brief Summary

Registry Overview

Trial Relationships

Related Scientific Literature

Study Timeline

First Submitted

First Posted

Study Start

Primary Completion

Study Completion

Conditions

Keywords

Outcome Measures

Primary Outcomes (1)

Secondary Outcomes (3)

Other Outcomes (2)

Study Arms (2)

Lumbar Spinal Anesthesia

Thoracic Segmental Spinal Anesthesia

Interventions

Eligibility Criteria

You may qualify if:

Sponsors & Collaborators

Study Sites (1)

Central Study Contacts

Study Design

Study Record Dates

You may not qualify if:

Source record

Locations