Implementation of ERAS Protocol for Cesarean Delivery in Clinical Center Vojvodina
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Post-Cesarean pain scoring
研究概览
简要总结
This study is designed to help us with ERAS (Enhanced Recovery After Surgery) Protocol for Cesarean Delivery implementation with goal to improve patient satisfaction and decrease length of stay at hospital. This will improve patient treatment and decrease total hospital costs.
详细描述
ERAS assumes cooperation between obstetricians, anesthesiologists and parturient. This is the new concept because patient have an active role in the whole process. Pregnant patient receives the first information about ERAS from obstetrician and anesthesiologist before the scheduled cesarean delivery. Patient condition optimization is necessary. Antibiotic prophylaxis, no bowel preparation and arriving to the hospital on the day of surgery are basic principles. All patients are done under spinal anesthesia. DVT (Deep Venous Thrombosis) prophylaxis starts postoperatively. Early mobilization, early oral intake and urinary catheter removal on the day of surgery with multimodal analgesia is mandatory.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •All healthy patients from 18-45 years for scheduled Cesarean Delivery
排除标准
- •Age younger then 18 years old and older then 45 years
- •Urgent and emergent Cesarean Delivery
- •Preeclampsia
- •Contraindications for spinal anesthesia
- •Abnormal placentation
结局指标
主要结局
Post-Cesarean pain scoring
时间窗: Measured from postoperative day (PO) Day 0 to PO day 3 (72 hours)
Visual Analog Scale (VAS) for pain assessment (scale from 0-10). Score 0 to 5 is satisfactory pain control. Score 6 to 10 is not a good pain control and is necessary to add medication.
次要结局
- Hospital length of stay(PO Day 0 until time of discharge PO Day 3-4 (72-96 hours))
- Post-partal depression development(Measured from the Cesarean Delivery to 6 weeks postoperatively)
研究者
Pujic Borislava
Director of Obstetrical Anesthesia
University of Novi Sad