RecruitingNCT07500519

Preoperative Shock Indexes and Post-Spinal Hypotension in Cesarean Surgery

Predictive Performance of Preoperative Shock Index and Modified Shock Index for Hypotension Following Spinal Anesthesia in Elective Cesarean Surgery

Sponsor

Marmara University

Enrollment

300 participants

Start Date

Oct 15, 2025

Study Type

OBSERVATIONAL

Conditions

Pregnancy Spinal Anesthesia Hypotension Postprocedural

Summary

This prospective observational study aims to evaluate the predictive performance of preoperative Shock Index (SI) and Modified Shock Index (MSI) for hypotension following spinal anesthesia in elective cesarean surgery. Post-spinal hypotension is a common complication that can affect maternal and fetal outcomes, and early identification of at-risk patients is essential for effective perioperative management.

Eligibility

Sex: FEMALEMin Age: 18 Years

Inclusion Criteria2

Patients over 18 years old
ASA II-III patients undergoing elective cesarean section

Exclusion Criteria7

ASA IV patients
Patients with known neurologic or psychiatric disorders
Patients with clinically significant cardiovascular, respiratory, hepatic, renal or metabolic disease
Patients with alcohol or drug addiction
Mentally disabled patients
Patients with BMI\>30
Patients who develop massive bleeding or coagulopathy

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