Exploring patient experiences during unexpected cesarean deliveries under general anesthesia
The Patient AS EDUcator in Anesthesia: Exploring the Patients' Experience During and After Unexpected Cesarean Delivery Under General Anesthesia to Inform Anesthetic Practice. A Prospective Patient-centred Multidisciplinary Mixed-method. (PAS-EDU-uCD-GA)
This study is trying to understand how patients feel during unexpected cesarean deliveries with general anesthesia to help improve their experience and care in the future.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 15 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | Female |
| Sponsor | Samuel Lunenfeld Research Institute, Mount Sinai Hospital Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Trial ID | NCT06589661 on ClinicalTrials.gov |
What this trial studies
This observational study aims to gather insights from patients and healthcare providers regarding their experiences during unexpected cesarean deliveries performed under general anesthesia. By focusing on patients' concerns, preferences, and suggestions, the study seeks to identify gaps in current anesthetic practices and enhance overall patient satisfaction and care quality. The findings will inform the development of educational materials for healthcare teams involved in cesarean deliveries, ultimately aiming to improve the anesthetic experience for future patients.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 and older who are undergoing emergency or urgent cesarean deliveries requiring general anesthesia due to maternal or fetal emergencies.
Not a fit: Patients who are under 18 years of age, unable to communicate due to language barriers or medical conditions, or those classified as super-morbidly obese may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved patient satisfaction and safety during unexpected cesarean deliveries under general anesthesia.
How similar studies have performed: While the approach of exploring patient experiences in this context is relatively novel, similar studies have shown success in improving patient care through feedback mechanisms.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * aged 18 years or older * English language proficiency (as interviews will be performed in English) * ASA Physical Classification Score 2-5 +/- E * Emergency or Urgent Cesarean Delivery with the need for general anesthesia due to fetal or maternal emergencies (e.g., fetal bradycardia, HELLP syndrome, etc.) * Unexpected Cesarean Delivery is defined as Level 1 (Emergency - Immediate threat to life of woman or fetus) and Level 2 (Urgent - Maternal or fetal compromise which is not immediately life-threatening) Cesarean Deliveries.21 * Patients will be included if they undergo preterm delivery (under 37 weeks of gestation, or are having a multiple gestation pregnancy, also, if there is a significant fetal anomaly present. Exclusion criteria: * Under 18 years of age * Unable to answer questions due to a language barrier or because of their mental or physical state (e.g., intubated patients) * BMI at the time of delivery that falls in the super-morbidly obese category (BMI \> 55 kg/m2) * Patients who underwent preterm delivery (under 32 weeks gestation) * Patients will be excluded if neonatal death has occurred. * Patients who were scheduled for an elective Cesarean Delivery, but had contraindicated or failed neuraxial anesthesia and required general anesthesia for or during their CD will be excluded.
Where this trial is running
Toronto, Ontario
- Mount Sinai Hospital — Toronto, Ontario, Canada (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.