In a simulation environment, is there a difference in time taken for consultant anaesthetists to perform spinal anaesthesia as compared to general anaesthesia on women, with suspected or confirmed COVID-19, who require emergency caesarean delivery?

Not Applicable

Completed

• Conditions: coronavirus (COVID-19); Performance of anaesthesia in simulation for patients with Coronavirus; Infection - Other infectious diseases; Anaesthesiology - Anaesthetics; Reproductive Health and Childbirth - Childbirth and postnatal care

• Registration Number: ACTRN12620000579998
• Lead Sponsor: Mackay Hospital and Health Service

Brief Summary

This research was designed to demonstrate in simulation that providing general anaesthesia for suspected or confirmed COVID – 19 parturients undergoing emergency caesarean delivery, would yield a similar time as compared with spinal anaesthesia due to the required modifications around infection precautions in the COVID-19 population. Usually, staff specialists prefer general anaesthesia for emergency caesarean delivery since it provides faster anaesthesia. Although this was a small study with 9 staff specialist anaesthetists, we could demonstrate that there was no difference in time between both techniques. Results Overall and irrespective of group allocation the mean time to complete the spinal anaesthesia scenario was 27.4 minutes, while for the general anaesthesia scenario was 24.0. There was no statistical difference between these times. Limitations: small study in Australia and the variations in practice in other countries may reduce considerably the generalisability of our findings.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-05-19
• Study Completion: 2020-06-16
• Last Update Posted: 14 June 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 9

Inclusion Criteria

Consultant anaesthetists who regularly anaesthetise pregnant women requiring category 1 caesarean deliveries and have been doing simulations to deal with COVID – 19 patients.

Exclusion Criteria

Unwilling to give informed consent.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
We want to check the amount of time taken to perform each of the two procedures. This will be recorded with a stopwatch. All the data will be collected in a separate sheet and inserted in a computer. We will consider the simulation PART 3” this moment. It will be counted in minutes and seconds.[Recorded from simulation PART 3” in minutes and seconds]

Secondary Outcome Measures

Name	Time	Method
We want to check the amount of time taken to prepare OT for each technique. This will be recorded with a stopwatch[Recorded from simulation PART 2” in minutes and seconds<br>];The Decision-to-delivery time interval (DDI). This will be recorded with a stopwatch[Recorded from simulation PART 1 to the end of PART 3” in minutes and seconds];Measure the level of stress” caused in each simulation scenario. This will be done with a simple question to the consultant asking him to inform the level of stress of the scenario in a scale of 0 to 10, being zero” a non- stressful scenario and ten” the most stressful scenario. [At the end of the scenario with a questionnaire ]