Pre-oxygenation in Term Pregnant Women
Conditions
Brief summary
Clinical Trial of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Oxygen in Women having Planned Caesarean Delivery. Cohort study investigating the efficacy of THRIVE pre-oxygenation using pre-determined number of vital capacity breaths and comparing the efficacy to face mask pre-oxygenation. Aimed to recruit ASA 1-2 term pregnant women having elective caesarean section.
Interventions
Clinical Trial of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Oxygen in Women having Planned Caesarean Delivery
Sponsors
Study design
Eligibility
Inclusion criteria
* scheduled to undergo elective caesarean delivery * singleton pregnancy * American Society of Anaesthesiologists (ASA) Physical Status Grade II * gestational age between 37 - 42 weeks
Exclusion criteria
* multiple pregnancy * pre-eclampsia * known fetal abnormality * maternal cardio-respiratory comorbidity * Body Mass Index (BMI) \> 35 kg/m2.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of vital capacity breaths required using THRIVE to pre-oxygenate 90% of parturients to an end tidal oxygen concentration of ≥90% (EN90). End tidal oxygen concentration >= 0.9 | 8 months study period | measure end tidal oxygen concentration through breathing system attached to anaesthetic machine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EN90 using THRIVE with mouth open versus mouth closed | 8 months study period | to measure any difference in end tidal oxygen concentration after using THRIVE mouth closed versus THRIVE mouth open |
| comfort score of THRIVE | 8 months study period | using 4-point Likert scale (1 being very uncomfortable- 4 comfortable) |
| changes in fetal wellbeing during pre-oxygenation time | 8 months study period | using fetal cardiotocography |
Countries
United Kingdom