Predictive Value of ONSD and NIRS for PDPH

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-40
SponsorOrdu University

About this trial

Currently, there is no reliable and effective method available in clinical practice to predict the development of PDPH. Early prediction and prevention of PDPH would reduce the incidence of postoperative complications, thereby enhancing the quality of recovery and care for both the mother and the newborn.

In this study, by testing the hypothesis that ONSD changes occurring after spinal anesthesia in pregnant women scheduled for elective cesarean delivery are associated with the development of PDPH, a predictive cutoff value for ONSD will be determined to foresee this complication. As a secondary endpoint, we aimed to evaluate the monitoring of cerebral desaturation secondary to post-spinal hypotension via NIRS and to assess the clinical significance of these data in predicting the development of PDPH.

Eligibility criteria

Qualifiers

Patients aged 18-40 years,

American Society of Anesthesiologists (ASA) physical status classification of II or III,

Beyond 37 weeks of gestation,

Elective cesarean delivery,

Disqualifiers

Patients undergoing emergency cesarean delivery

Presence of preoperative anxiety [State-Trait Anxiety Inventory (STAI) - I] score > 30)

Presence of preoperative anemia (Hemoglobin < 11 g/dL),

History of hypertension, gestational hypertension, hyperthyroidism, or preeclampsia/eclampsia,

Trial design

Treatments tested in this trial

  • Not listed

Trial groups

44 Participants
are grouped into 2 trial groups

Sponsors and collaborators