The goal of this study is to learn about the effect of preemptive education on reducing intraoperative maternal shivering in elective cesarean delivery. The main question it aims to answer is: Does preemptive education by anesthesiologists reduce intraoperative maternal shivering in elective cesarean delivery?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
130
A preemptive education about 4 stages (prepare, anethesia, surgery, and recovery) by anesthesiologists within 15 minute.
Seoul National University Hospital
Seoul, Jongno-gu, South Korea
RECRUITINGNumber of participants with intraoperative maternal shivering
Record when shivering occurred within the time frame
Time frame: From the moment the patient enters the operating room (0 minute) until leaving the operating room on the same day, expected to be up to 180 minutes.
Intraoperative body temperature
Time frame: 0, 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165, 180 minutes after entering the operating room until the end of surgery.
Intraoperative pain (Numeric rating scale, NRS).
NRS 0: no pain 1-3: mild pain (nagging, annoying, interfering little with acitivities of daily living (ADLs)) 4-6: moderate Pain (interferes significantly with ADLs) 7-10: severe Pain (disabling; unable to perform ADLs) Record when the patient complained pain within the time frame
Time frame: From the moment the patient enters the operating room (0 minute) until leaving the operating room on the same day, expected to be up to 180 minutes.
Spinal anesthesia level (dermatome)
Time frame: From the intrathecal injection (0 minute) until at the end of surgery (0, 5, 10, 25, 40, 55, 75 minute, at the end of surgery)
Post-operative spinal anesthesia level in recovery room
The level(dermatome) of spinal anesthesia will be checked by pin-prick test by an anesthesiologist or nurse.
Time frame: From the time the patient enters the recovery room (0 minute) until leaving the recovery room (0, 15, 30, 45 minute, at the time the patient leaves the recovery room)
Number of Participants with Post-operative shivering in recovery room
Time frame: From the time the patient enters the recovery room (0 minute) until leaving the recovery room (0, 15, 30, 45 minute, at the time the patient leaves the recovery room)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Post-operative body temperature in recovery room
Time frame: From the time the patient enters the recovery room (0 minute) until leaving the recovery room (0, 15, 30, 45 minute, at the time the patient leaves the recovery room)
Post-operative nausea and vomiting in recovery room (by questionnaire)
Nausea and vomiting will be assessed by questionnaire. (yes/no)
Time frame: From the time the patient enters the recovery room (0 minute) until leaving the recovery room (0, 15, 30, 45 minute, at the time the patient leaves the recovery room)
Patient's satisfaction by questionnaire
Patient's satisfaction about pre-operative preparation, anesthesia, and surgery by questionnaire. Participants will respond their satisfaction by score 0-10. (A higher score means higher satisfaction. )
Time frame: From the end of surgery until 24 hours after surgery
Pain (assessed by NRS) until post-operative day 1
NRS (numeric rating scale) is detailed at Outcome number 3.
Time frame: At 6, 12, 18, 24 hours after the end of surgery
Analgesic dosage (Morphile miligram equivalents) until post-operative day 1
Time frame: From the end of surgery until 24 hours after surgery
Obstetric quality of recovery until post-operative day 1
Quality of recovery will be assessed by Obstetric Quality of Recovery-11K survery, which is a questionnaire completed by participants. Higher score means higher quality of recovery.
Time frame: At 24 hours after surgery