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Trial registered on ANZCTR
Registration number
ACTRN12611000746932
Ethics application status
Approved
Date submitted
13/07/2011
Date registered
18/07/2011
Date last updated
20/07/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of sitting up for 5 minutes vs. immediately lying down after spinal anesthesia for cesarean delivery on fluid and ephedrine requirement
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Scientific title
Effects of sitting up for 5 minutes vs. immediately lying down after spinal anesthesia for cesarean delivery on fluid and ephedrine requirement
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Secondary ID [1]
262622
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Nil
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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:
Post-spinal hypotension at cesarean delivery
268318
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Condition category
Condition code
Anaesthesiology
268449
268449
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0
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Anaesthetics
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Reproductive Health and Childbirth
268456
268456
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0
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Childbirth and postnatal care
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Surgery
268457
268457
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention: sitting up for 5 minutes after spinal anesthesia then lying down to a tilted supine position
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Intervention code [1]
266969
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Prevention
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Comparator / control treatment
Control: immediately lying down after spinal anesthesia to a tilted supine position
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Control group
Active
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Outcomes
Primary outcome [1]
269205
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Total intraoperative fluid requirement
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Assessment method [1]
269205
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Timepoint [1]
269205
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At the end of surgery
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Primary outcome [2]
269206
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Total intraoperative ephedrine requirement
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Assessment method [2]
269206
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Timepoint [2]
269206
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At the end of surgery
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Secondary outcome [1]
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Systolic blood pressure will be measured using a standard automated non-invasive blood pressure and heart rate measuring device
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Assessment method [1]
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Timepoint [1]
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At baseline and every 2 minutes after spinal anesthesia for a total of 20 minutes
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Secondary outcome [2]
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Heart rate will be measured using a standard automated non-invasive blood pressure and heart rate measuring device
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Assessment method [2]
279123
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Timepoint [2]
279123
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At baseline and every 2 minutes after spinal anesthesia for a total of 20 minutes
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Secondary outcome [3]
279124
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Maximum height of sensory block will be assessed clinically by the blinded anesthesiologist using an ice cube
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Assessment method [3]
279124
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Timepoint [3]
279124
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Ten minutes after the administration of spinal anesthesia (before the start of surgery)
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Eligibility
Key inclusion criteria
- Females
- 18-40 years of age
- Pregnant at term (greater than or equal to 37 weeks gestation)
- Singleton uncomplicated pregnancy
- American Society of Anesthesiologists’ physical class I or II
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- hypertension
- any hypertensive disease of pregnancy
- diabetes mellitus
- any contraindication to regional anesthesia
- allergy to any of the study medications
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Research assitant and serially numbered opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated randomization schedule with block size of 6
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3707
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Saudi Arabia
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State/province [1]
3707
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Department of Anesthesia and Critical Care, Faculty of Medicine, King Abdulaziz University
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Address [1]
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King Abdulaziz University
P.O. Box 80215
Jeddah 21589
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Country [1]
267435
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Saudi Arabia
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Primary sponsor type
University
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Name
King Abdulaziz University
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Address
P.O. Box 80215
Jeddah 21589
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Country
Saudi Arabia
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Secondary sponsor category [1]
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None
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Name [1]
266483
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Address [1]
266483
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Country [1]
266483
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269410
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Research and Ethics Committee
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Ethics committee address [1]
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Department of Anesthesia and Critical Care P.O. Box 80215 Jeddah 21589
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Ethics committee country [1]
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Saudi Arabia
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Date submitted for ethics approval [1]
269410
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Approval date [1]
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01/06/2010
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Ethics approval number [1]
269410
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Summary
Brief summary
The aim of this study was to determine the effect of sitting the patient up for 5 minutes after spinal anesthesia before lying down on intraoperative fluid and ephedrine (a medication that raises blood pressure) requirement. We hypothesized that this delayed upright position will minimize the usual decrease in blood pressure after spinal anesthesia and will therefore decrease the amount of fluid and ephedrine usually required to maintain the blood pressure within normal range in these patients.
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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
32871
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Address
32871
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof. Essam E. Abd El-Hakeem
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Address
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Department of Anesthesia and Critical Care
King Abdulaziz University Hospital
P.O. Box 80215
Jeddah 21589
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Country
16118
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Saudi Arabia
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Phone
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966-2-6408335
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof. Essam E. Abd El-Hakeem
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Address
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Department of Anesthesia and Critical Care
King Abdulaziz University Hospital
P.O. Box 80215
Jeddah 21589
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Country
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Saudi Arabia
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Phone
7046
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966-2-6408335
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Fax
7046
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Email
7046
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[email protected]
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No information has been provided regarding IPD availability
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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