Analgesia, Cesarean Section
Conditions
Keywords
cesarean section, neuraxial anesthesia, pain, analgesia
Brief summary
Pain during caesarean section under neuraxial anesthesia is often underestimated and could be related to perinatal psycholocal disorders. The implementation of an evidence-based anesthestic management protocol for caesarean sections aims at reducing intraoperative and postoperative pain. This prospective observational single-center study aims at determining whether this protocol helped to reduce the prevalence of insufficient analgesia in during caesarean sections.
Detailed description
Caesarean surgery is one of the most frequent surgeries around the world and neuroaxial anesthesia is the preferred anesthesia technique in most settings. Still, many women experience pain during caesarean section, and it has implications in their birth experience. The PAICAN study (Prevalence of Insufficient Analgesia in Caesarean Section under Neuroaxial Anesthesia) aims to study how the implementation of a specific protocol of anesthetic management during caesarean section reduces the intraoperative pain and the need of postoperative painkillers. Other objectives are: * To study the adherence to the new protocol in our centre * To understand the mechanisms of the failure of neuraxial anesthesia * To study the related factors to insufficient analgesia during surgery (demographic, obstetric, anesthetic, etc.). Hypothesis: the implementation of an anesthestic management protocol for caesarean sections under neuroaxial anesthesia decreases the prevalence of insufficient analgesia during surgery and in the recovery room. Design: Prospective observational single-center study.
Interventions
None listed
Sponsors
Parc de Salut Mar
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Pregnant women aged 18 or more undergoing a caesarean section under neuraxial anesthesia
Exclusion criteria
* Non pregnant women * Women under 18 years old * General anesthesia as first option for anesthesia * Refusal to participate in the study * Women with cognitive impairment or held in an institution by legal or official order
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of Insufficient Analgesia during cesarean section | During the cesarean section | Prevalence of Insufficient Analgesia during cesarean section is a composite variable based on 4 principal variables: * Intraoperative Verbal Numeric Scale of Pain (asked intraoperatively) * Categorical scale of pain (low, moderate, severe, no pain) (asked intraoperatively) * Alternative anesthestic plan (any different anesthetic technique that differs from the initial anesthestic plan) * Failure of the initial anesthetic technique (any failure during the whole surgical procedure) |
Countries
Spain
Outcome results
None listed