Tracking Attempts of CSE, Epidural and Spinal Insertions (TRACES)

Completed

• Conditions: Neuraxial Anesthesia Charting

• Registration Number: NCT04862611
• Lead Sponsor: University of British Columbia

Brief Summary

The goal of this study is to compare observed neuraxial (Epidural, spinal, combined spinal-epidural) insertion attempts with actual documented attempts in anesthesia providers (staff, residents and fellows) at one maternal hospital. Trained research staff will document the number of neuraxial attempts before the operation, and compare this with the attempts recorded in the patient's chart. The definition of a neuraxial attempt will be determined before the study begins through a thorough literature review.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-01-05
• Study First Submitted: 2021-04-22
• Study First Submitted QC: 2021-04-26
• Study First Posted: 2021-04-28
• Primary Completion: 2021-05-05
• Study Completion: 2021-05-05
• Status Verified: 2021-09
• Last Update Submitted: 2021-09-29
• Last Update Posted: 2021-10-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 220

Inclusion Criteria

• Healthy parturients receiving any neuraxial procedure

Exclusion Criteria

• Patient refusal of observation
• Provider refusal of observation

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Percent accuracy of recorded neuraxial attempts	1 day post-operatively	Charted neuraxial attempts divided by observed neuraxial attempts

Secondary Outcome Measures

Name	Time	Method
Percent accuracy of recorded neuraxial redirections	1 day post-operatively	Charted neuraxial attempts divided by number of observed attempts and redirections
Define a neuraxial attempt	1 month before recruitment starts	Use thorough literature review to establish a working definition of a neuraxial attempt
Define a neuraxial redirection	1 month before observations start	Use thorough literature review to establish a working definition of a neuraxial redirection
Completeness of documentation	1 day post-operatively	Percentage completion of requisite charting prompts on anesthesia record
Departmental consensus on a neuraxial attempt	One week after observations conclude	Survey the department to understand how staff define a neuraxial attempt

Trial Locations

Locations (1)

BC Women's Hospital; 🇨🇦 Vancouver, British Columbia, Canada