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Intraoperative supplemental oxygen has been given for most parturients undergoing cesarean section under spinal anesthesia. However, evidences supporting the practice is not clear nowadays, especially for healthy parturients who are monitored continuously with pulse oximeter. Furthermore, hyperoxia may produce free radicles which could harm fetus and newborns.
Changing practice is not that easy. This study has been conducted to prove that supplemental oxygen is not necessary for healthy parturients during cesarean section.
Supplemental oxygen has been routinely given to parturients because doctors were concerned about desaturation. However, the evidences for giving oxygen was not strong, and the condition nowadays can be detected immediately with pulse oximeter which is a standard monitoring.
After this study finished, we will set a safety guideline for supplemental oxygen for healthy parturients undergoing elective cesarean section.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| room air | No Intervention | no supplemental oxygen in intraoperative period | |
| Oxygen | Experimental | Supplemental 3LPM oxygen via canula |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supplemental 3LPM oxygen via canula | Drug | Parturients will receive supplemental oxygen (3LPM) via nasal canula |
|
| Measure | Description | Time Frame |
|---|---|---|
| proportion of maternal desaturation | Oxygen saturation < 94% once. | intraoperative period |
| Measure | Description | Time Frame |
|---|---|---|
| neonatal outcomes | Apgar score and parameters from umbilical cord gas | intraoperative period |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Arunotai Siriussawakul, MD. | Mahidol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Siriraj hospital | Bangkok | 10700 | Thailand |
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| Label | URL |
|---|---|
| pubmed | View source |
| journal @ovid | View source |
| scopus |
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