NCT05468125

Maternal Care Bundle to Attenuate Hypotension in Cesarean Section

Special Maternal Care Bundle to Attenuate Spinal Induced Hypotension in Cesarean Section

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 144 (estimated)
• Sponsor: Suez Canal University · Academic / Other
• Sex: Female
• Age: 21 Years – 40 Years
• Healthy volunteers: Not accepted

Summary

Cesarean Section (CS) is a common obstetric surgery that can be performed by both general or regional anaesthetic techniques. Hypotension is the most common complication of spinal anaesthesia, its incidence varying from 70% to 80 %, if severe, it can result in serious perinatal adverse outcomes, such as maternal nausea and vomiting, fetal acidosis and may be an important contributory factor for maternal death related to regional anaesthesia.

Detailed description

A variety of methods have been used for the prevention of post-spinal hypotension which includes the use of intravenous fluid, vasopressors, and physical methods such as table tilt, leg binders, and compression devices. However, a single technique is ineffective and a combination of interventions is suggested. A care bundle is a group of three to five evidence-based interventions that, when performed together, have a better outcome than if performed individually. A care bundle consists of a group of (usually) between three and five evidence-based interventions. These are related to a particular condition or event for patient care. Care bundles are well known in the field of intensive care medicine such as Ventilator-Associated Pneumonia (VAP) care bundle, sepsis care bundle, and Central Line-Associated Bloodstream Infection (CLABSI) care bundle. To our knowledge, till now, no one has investigated a special care bundle in the field of anaesthesia. In this work, we will investigate the safety and efficacy of a special care bundle in controlling spinal induced hypotension.

Conditions

• Hypotension
• Cesarean Section Complications

Interventions

Type	Name	Description
PROCEDURE	guidance	either follow the care bundle or the best evidence practice

Timeline

• Start date: 2022-08-01
• Primary completion: 2022-11-20
• Completion: 2022-12-01
• First posted: 2022-07-21
• Last updated: 2022-11-15

Locations

1 site across 1 country: Egypt