Preoperative Data and the Spinal Spread of Local Anesthetic in Cesarean Section
Preoperative Data and the Spinal Spread of Local Anesthetic in Cesarean Section - a Retrospective Analysis of High Hyperbaric Bupivacaine Dose Cases.
Centre of Postgraduate Medical Education
140 participants
Sep 18, 2025
OBSERVATIONAL
Conditions
Summary
This study is designed to assess possible relation between the anthropometric data of pregnant women at term, as well as their babies, and the maximal level of sensory blockade following spinal anesthesia for cesarean section. The debate regarding this relation is ongoing. Although there is some relevant data in favor of both lack and the presence of significant relation between these variables, it is still not clear whether the same dose of local anesthetic is similarly effective, regardless of parturient's and fetal size.
Eligibility
Inclusion Criteria3
- Cesarean delivery at term under spinal anesthesia
- American Society of Anesthesiologists (ASA) physical status \<3
- BMI\<40
Exclusion Criteria4
- Spinal anesthesia with the dose different than 12.5mg of hyperbaric bupivacaine
- Local anesthetic other than hyperbaric bupivacaine used
- Failed spinal anesthesia
- Poor quality of anesthetic record - required data not available
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Interventions
Relation of pregnancy - related, maternal and neonatal data to the level of sensory blockade in the whole study group will be assessed. Only cases with 12.5mg of hyperbaric bupivacaine will be included.
Intervention is to retrieve and analyse anonymous perioperative data. After identification of eligible cases, statistical analysis will be performed
Relation of pregnancy - related, maternal and neonatal data to the level of sensory blockade in the sub-groups of different height (\<165cm and \>165cm) will also be performed.
Locations(1)
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NCT07197398