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Reducing perioperative nausea and vomiting after planned ceasarean section delivery with a multimodal ERAC care approach - A quality improvement initiative

Implementation of a Multimodal ERAC Bundle to Reduce Perioperative Nausea and Vomiting in Elective Caesarean Delivery: A Two-Phase PDSA Quality Improvement Study - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/07/114162
Enrollment
180
Registered
2026-07-16
Start date
Unknown
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O80- Encounter for full-term uncomplicated delivery

Interventions

Intervention1: Multimodal ERAC Bundle: Domains in Phase 2 Intervention Bundle 1. Counselling - Structured targeted pre-anaesthetic verbal counselling regarding fasting guidelines, procedure, expected

Sponsors

Institute Of Anaesthesiology Pain and Perioperative Medicine
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Term parturient with gestational age equal to or more than 37 weeks Singleton pregnancy Elective caesarean section under spinal anaesthesia ASA physical status 2 Age 18 to 40 years Willing and able to provide written informed consent

Exclusion criteria

Exclusion criteria: Contraindication to spinal anaesthesia for example coagulopathy, thrombocytopenia, active infection at site, raised intracranial pressure, patient refusal Allergy or contraindication to any study drug for example bupivacaine,fentanyl,lignocaine Pre-existing hypotension for example SBP less than 100 mmHg at baseline Cardiac disease for example any significant structural or arrhythmic disorder Severe preeclampsia, eclampsia, or HELLP syndrome Multiple pregnancy, foetal abnormality, or intrauterine growth retardation Inability to comprehend study questionnaire Body Mass Index more than 40 kg per meter square Exclusion Criteria For Phase 2 only - Refusal to TAP block Allergy to study drug like Caffeine, Ondansetron

Design outcomes

Primary

MeasureTime frame
Incidence of perioperative nausea and vomiting - PeONV, defined as occurrence of nausea or vomiting at any time from administration of spinal anaesthesia till 6 hours postoperatively. Timepoint: Intraoperative- from time of administration of spinal block till 6 hour postoperatively—

Secondary

MeasureTime frame
To assess the incidence of perioperative hypotensionTimepoint: Preoperative, intraoperative, postoperative till 6 hour;To measure thirst & hungerTimepoint: Preoperative, intraoperative, postoperative till 4 hour;To assess postoperative painTimepoint: postoperatively till 24 hour;To evaluate maternal satisfactionTimepoint: postoperatively at 24 hour;To assess the incidence of perioperative shiveringTimepoint: Preoperative, intraoperative, postoperative till 4 hour;To assess preoperative anxiety levelsTimepoint: Preoperative—

Countries

India

Contacts

Public ContactDr Anjeleena Kumar Gupta

Sir Ganga Ram Hospital

anjeleenasgrh@gmail.com9818422867

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Aug 10, 2026