Intrathecal DEX With Bupivacaine Inpost-spinal Shivering After CS.

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexFemale
Age20-40
SponsorAl-Azhar University

About this trial

This prospective, randomized, double-blind, placebo-controlled study to determine whether intrathecal dexmedetomidine, administered along with hyperbaric bupivacaine for covering Cesarean delivery decreases the incidence of shivering associated with spinal anesthesia

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Full-term pregnant women undergoing elective cesarean section under spinal anesthesia.

singleton pregnancy

Age: 20 ~ 40 years;

ASA physical status II ~ III;

Disqualifiers

parturient less than 20 years and more than 40 years.

History of uncontrolled comorbidities, cardiac (e.g., pre-eclampsia and hypertension), respiratory, renal or hepatic disease.

parturients who had allergy to any medication in the study.

parturients with contraindications to spinal anesthesia (coagulation disorder, infection at site of puncture, raised intracranial tension or any spine deformity)

Trial design

Design model

Parallel

Treatments tested in this trial

  • dexmedetomidine 3mcg group

    Drug

    3mcg of preservative-free dexmedetomidine in (0.5 ml) preservative-free 0.9% saline.

  • dexmedetomidine 5mcg

    Drug

    5mcg of preservative-free dexmedetomidine in (0.5 ml) preservative-free 0.9% saline.

  • preservative-free 0.9% saline.

    Drug

    (0.5 ml) preservative-free 0.9% saline

Treatment groups

40 Participants
are divided into 3 treatment groups
Group A: Group D3: (dexmedetomidine 3mcg group)Active comparator 1 intervention
Group B: Group D5: (dexmedetomidine 5mcg group)Active comparator 1 intervention
Group C: Group C: (Control group)Placebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

efficacy on the incidence and severity of shivering associated with spinal anesthesia.

evaluate the effect of intrathecal dexmedetomidine, administered as an adjunct to hyperbaric bupivacaine for Cesarean delivery, on the incidence and severity of shivering associated with spinal anesthesia.

Time frame
Shivering will be measured at the following time points: (Immediately after spinal anesthesia, and at 5, 10, 15, 20, 30, 40, 50, 60 and 90 minutes later

Secondary outcomes

1

incidence of adverse effects

the incidence of adverse effects, including nausea, vomiting, bradycardia, hypotension and sedation.

Time frame
Immediately after spinal anesthesia, and within 90 minutes later

Other outcomes

Sponsors and contacts

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