Preoperative Shock Indexes and Post-Spinal Hypotension in Cesarean Surgery
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 ear
| Condition(s) | Spinal Anesthesia, Pregnancy, Hypotension Postprocedural |
|---|---|
| Status | Recruiting |
| Study type | Observational |
| 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. |
| Who can participate | Inclusion Criteria: * Patients over 18 years old * ASA II-III patients undergoing elective cesarean section Exclusion Criteria: * 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 |
| Ages | 18 Years |
| Sex | Female |
| Lead sponsor | Marmara University |
| Locations | Istanbul, Turkey (Türkiye) |
| Start date | 2025-10-15 |
| NCT ID | NCT07500519 |
| Official listing | https://clinicaltrials.gov/study/NCT07500519 |