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Trial registered on ANZCTR
Registration number
ACTRN12624000523505
Ethics application status
Approved
Date submitted
6/03/2024
Date registered
26/04/2024
Date last updated
26/04/2024
Date data sharing statement initially provided
26/04/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
The Effect of Intraoperative Hemodynamic Changes on the Development of Postspinal Headache in Patients undergoing Cesarean Section with Spinal Anesthesia
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Scientific title
The Relationship Between Postspinal Headache and Intraoperative Hemodynamic Changes After Cesarean Section Under Spinal Anesthesia
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Secondary ID [1]
311686
0
none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postspinal Headache
333389
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Intraoperative Hemodynamic Changes
333390
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Condition category
Condition code
Anaesthesiology
329847
329847
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0
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Other anaesthesiology
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Reproductive Health and Childbirth
330077
330077
0
0
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Childbirth and postnatal care
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Anaesthesiology
330078
330078
0
0
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Pain management
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patients will undergo cesarean section under spinal anesthesia.Spinal anesthesia will be administered in sitting position under sterile conditions.25 G quincke needle will be preferred as spinal needle.12 mg bupivacaine heavy will be used as local anesthetic. Surgery will start when the anesthesia level is dermatome T4. During this time, the patient's routine monitoring will be recorded. blood pressure measurement will be before and after anesthesia and every 5 minutes. Any complications that may occur during the operation (nausea, vomiting, headache, chest pain, etc.) and medical drugs administered will be recorded. Patients will be followed up for complications for 1 week postoperatively.
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Intervention code [1]
328148
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Early Detection / Screening
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Comparator / control treatment
none
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Post-spinal headache rate
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Assessment method [1]
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Visual analog scale (VAS) and dynamic visual analog score (dVAS)
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Timepoint [1]
337616
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With in baseline ,postoperative 0, 1, 6, 12, 24 and 48 hours and 7th day
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Primary outcome [2]
337834
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Hemodynamic changes in the intraoperative
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Assessment method [2]
337834
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Anesthetic records (blood pressure, heart rate )
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Timepoint [2]
337834
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Before and after anesthesia and every 5 minutes during operation
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Secondary outcome [1]
432535
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Medications used for intraoperative and postoperative vomiting and hypotension
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Assessment method [1]
432535
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Audit of medical records
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Timepoint [1]
432535
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intraoperatively every five minutes and 0, 1, 6, 12, 24 and 48 hours in the postoperative period.
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Eligibility
Key inclusion criteria
Patients undergoing cesarean section under spinal anesthesia. Aged 18-45 years with American Society of Anesthesiologist (ASA) physical classification score between ASA II- ASAIII
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with heart failure, neurological disorders, chronic headache, a condition that prevents the application of spinal anesthesia, or patients with inadequate block after spinal anesthesia will not be accepted into the study.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
The present study is designed as a prospective observational study. The data collection time interval will be two months with an expected patient number of 400 patients. The data collected will be analysed with IBM SPSS package program. the results will be presented as means, madians, percentiles as applicable.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/05/2024
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Actual
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Date of last participant enrolment
Anticipated
24/06/2024
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Actual
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Date of last data collection
Anticipated
1/07/2024
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Actual
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Sample size
Target
400
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26190
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Turkey
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State/province [1]
26190
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Bursa
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Funding & Sponsors
Funding source category [1]
316013
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Self funded/Unfunded
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Name [1]
316013
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Serra Topal-Bursa City Hospital
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Address [1]
316013
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Country [1]
316013
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Turkey
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Primary sponsor type
Individual
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Name
Serra Topal-Bursa City Hospital
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Address
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Country
Turkey
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Secondary sponsor category [1]
318164
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None
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Name [1]
318164
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Address [1]
318164
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Country [1]
318164
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314838
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Bursa City Hospital Clinical Research Ethics Committee
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Ethics committee address [1]
314838
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Bursa Sehir Hastanesi ,Doganköy, Doganköy Iç Yolu, 16110 Nilüfer/Bursa
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Ethics committee country [1]
314838
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Turkey
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Date submitted for ethics approval [1]
314838
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10/04/2023
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Approval date [1]
314838
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12/04/2023
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Ethics approval number [1]
314838
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2023-6/2
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Summary
Brief summary
Hemodynamic changes that may occur during the operation in spinal anesthesia may be thought to impair cerebral blood circulation. In addition, the effects and side effects of drugs used during the operation may also affect cerebral blood circulation. In cesarean section operations performed under spinal anesthesia, conditions that change cerebral blood circulation may be thought to cause postoperative headache.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Serra TOPAL
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Address
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Bursa Sehir Hastanesi,Doganköy, Doganköy Iç Yolu, 16110 Nilüfer/Bursa.
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Country
132882
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Turkey
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Phone
132882
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+905068823855
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Fax
132882
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Email
132882
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[email protected]
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Contact person for public queries
Name
132883
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Serra TOPAL
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Address
132883
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Bursa Sehir Hastanesi,Doganköy, Doganköy Iç Yolu, 16110 Nilüfer/Bursa.
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Country
132883
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Turkey
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Phone
132883
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+905068823855
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Fax
132883
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Email
132883
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[email protected]
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Contact person for scientific queries
Name
132884
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Serra TOPAL
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Address
132884
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Bursa Sehir Hastanesi,Doganköy, Doganköy Iç Yolu, 16110 Nilüfer/Bursa.
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Country
132884
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Turkey
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Phone
132884
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+905068823855
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Fax
132884
0
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Email
132884
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Due to regional laws regarding the 'personal data protection' in Turkey.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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