Elective cesarean section Pregnancy and Childbirth
Conditions
Interventions
All parturients are prospectively assessed and classified according to the American Society of Anesthesiologists (ASA) physical status classification. Basic intraoperative monitoring (ECG, SpO2, tempe
standard manometer, predetermined volume of air (10 - 15 ml), or manual palpation of the endotracheal tube pilot balloon immediately after intubation. Again, prior to extubation, the pressure gauge is
Sponsors
Habana Medical Services
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Parturients scheduled for elective cesarean section under general anaesthesia with endotracheal intubation 2. Aged 18 to 40 years 3. American Society of Anesthesiologists Physical Status (ASA-PS) score 1-2
Exclusion criteria
Exclusion criteria: 1. Patients with a history of difficult intubation or multiple attempts (more than three attempts) during intubation 2. Parturient requiring emergency intubation 3. Parturient with a higher risk for aspiration 4. Intubation performed by non-anaesthesia staff 5. Parturient with known anatomical laryngotracheal abnormalities 6. Those expected to remain intubated beyond the operation room period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Endotracheal tube cuff pressure determined using a standard manometer, predetermined volume of air (10 - 15 ml), or manual palpation of endotracheal tube pilot balloon immediately after intubation or prior to extubation. The technique used and the cuff pressure estimated in each group is recorded 2. Cuff pressure associated complications (cough, sore throat, hoarseness, and blood-streaked expectoration) determined during an interview after 24 hours of extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall perioperative satisfaction, evaluated as 4 = excellent, 3 = good, 2 = satisfactory, 1 = poor, during an interview on the day of discharge | — |
Countries
Ghana
Outcome results
None listed