ERAS
Conditions
Brief summary
The study is designed to evaluate the effect of implementing enhanced recovery after surgery (ERAS) protocol during elective cesarean section on patient's outcome measures.
Detailed description
The study is designed to evaluate the effect of implementing enhanced recovery after surgery (ERAS) protocol during elective cesarean section on patient outcome measures. The primary outcome is the evaluation of inpatient postpartum recovery using the Obstetric Quality of Recovery 11 score (ObsQoR-11) at the time of discharge. Secondary outcomes are the evaluation of peak numeric postoperative pain rating score within the postoperative hospital stay, total amount of postoperative opioid consumption, postoperative nausea, and vomiting impact score after 6 hours postoperatively and at time of discharge, patient satisfaction using Leiden perioperative care patient satisfaction questionnaire (LPPSq) at time of discharge, presence of post-cesarean ileus and Hospital length to achieve criteria for discharge.
Interventions
OTHERERAS community recommendation
Enhanced recovery techniques including opioid sparing anesthesia in elective cesarean section
Usual anesthesia and analgesia in elective cesarean section.
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Investigator)
Intervention model description
follow ERAS society guidelines recommendations in elective CESAREAN SECTION
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women ASA I to ASA II aged from 18 up to 40 years. With non-complicated pregnancy undergoing elective CS.
Exclusion criteria
* -Age less than 18 years * Complications (wound infection, re-exploration, caesarean hysterectomies) * Recent documented use of opioids Allergy to any drug used during the study.- * Patients with severe heart diseases, cardiac arrhythmia and myocardial injury. * uncontrolled diabetic patient * Severe liver and kidney diseases * Coagulation defect
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Obstetric Quality of Recovery 11 score (ObsQoR-11) | before discharge or during 24 hour postoperatively | it is consisted of 11 questions covers four domains of recovery outcomes: physical comfort, emotional state, physical independence and care of the neonate, and pain ,each question taking score from 0 to 10 with 0 is the minimum score and 10 is the highest score and the maximum total score is 110 and the minimum total is 0 which is the worest quality of recovery |
Contacts
Primary ContactMarwa AA Mohamed, AS Lecturer
Backup ContactHaidy SM Mansour, AS professor
Outcome results
None listed