In this study the investigators will compare two doses of norepinephrine bolus (6 mcg and 8 mcg) in management of maternal hypotensive episode after spinal block during cesarean delivery.
Who can participate
Age range18 Years – 49 Years
SexFEMALE
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Woman,
* ASA I-II,
* 18-49 age range,
* Actual body weight \>50 kg,\<90 kg
* Actual height \>150cm, \<180cm
* Patients undergoing surgery under elective conditions and emergency cases for non-bleeding reasons
* Fasting period is appropriate,
* Term pregnancy (38-42 weeks),
* Patients without cardiovascular disease
* Spinal block that does not reach the high level (\<T4),
* Patients without diagnosis of stage 2 or higher hypertension hypertension (Stage 2 hypertension is defined as a systolic blood pressure of more than 160 mmHg and a diastolic blood pressure of more than 90 mmHg.),
* Patients without vasoactive drug use,
* Preop Systolic Blood Pressure \>90 mmHg,
* Bleeding less than 750 ml,
* Patients who signed the informed consent form to be included in the study
Exclusion Criteria:
* ASA III-IV,
* Pregnant women outside the age range of 18-49,
* Actual body weight \>90kg, \<50kg
* Actual height \>180cm, \<150cm
* Patients with inappropriate fasting time
* Preterm pregnancy (\<38 weeks) or postterm pregnancy (\>42 weeks)
* Bleeding amount more than 750 ml
* Emergency surgery with bleeding (previa, placental abruption, etc.)- Pregnant with cardiovascular system disease,
* High block level (\>T4)
* Having a diagnosis of stage 2 or higher hypertension hypertension (Stage 2 hypertension is defined as a systolic blood pressure of more than 160 mmHg and a diastolic blood pressure of more than 90 mmHg.),
* Use of vasoactive drugs,
* Preop Systolic Blood P…
What they're measuring
1
Rate of successful management of maternal hypotension
Timeframe: After spinal anesthesia until the end of surgery
2
Number of Noradrenaline doses administered and total dose amount
Timeframe: After spinal anesthesia until the end of surgery