Health Condition 1: O740- Aspiration pneumonitis due to anesthesia during labor and delivery
Conditions
Interventions
Intervention1: Nil: Nil
Intervention2: Nil: Nil
Sponsors
ESI PGIMSR and Hospital Manicktala
Eligibility
Inclusion criteria
Inclusion criteria: Gestational Age: Non-labouring, term pregnant women (greater than and equal to 37 weeks gestation). Procedure: Scheduled for elective cesarean section under spinal anesthesia. Physical Status: American Society of Anesthesiologists (ASA) physical status II. Body Mass Index (BMI): 18.5?40 kg per m? (ASA II) Fasting Status: Patients who have followed preoperative fasting as per institutional practices.
Exclusion criteria
Exclusion criteria: Patients in labour. Patients with exaggerated Aortocaval syndrome. Multiple Gestation: Women with multiple pregnancies. Emergency Procedures: Patients requiring emergency cesarean section. Obstetric Complications graded III or beyond: Preeclampsia with severe features, gestational DM with complications or high insulin requirements, a thrombophilic disease requiring anticoagulation, etc. Cases converted to general anaesthesia post spinal anaesthesia failure. Refusal to Participate: Declined or withdrew consent at any stage. Mentally incompetent: unable to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Qualitative: Perlas grading Quantitative: Gastric volume by measuring antral Cross-sectional area. Timepoint: Ultrasound scans and its real time assessment will be done 10 minutes before giving spinal anaesthesia in cesarean delivery surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative Nausea & vomitingTimepoint: Intraoperative symptoms like nausea & vomiting will be assessed every 10 minutes during the surgery.;Intraoperative Capillary blood glucoseTimepoint: Capillary Blood Glucose will be assessed once during the surgery at any given point.;Intraoperative discomfort & anxietyTimepoint: Intraoperative symptoms like patient discomfort will be assessed every 10 minutes during the surgery. | — |
Countries
India
Contacts
Public ContactDr. Oela Roy
ESI PGIMSR and Hospital Manicktala
Outcome results
None listed