Breakthrough pain during cesarean section under neuraxial anesthesia: a two-center prospective audit

Autor:	Roofthooft, Eva, Lippens, Noemie, Rex, Steffen, Devroe, Sarah, Moerman, Anneliese, Filetici, Nicoletta, Van de Velde, Marc
Rok vydání:	2022
Předmět:	ANALGESIA Science & Technology REGIONAL ANESTHESIA Anesthesiology Medicine and Health Sciences Breakthrough pain SPINAL-ANESTHESIA intraoperative pain neuraxial anesthesia Cesarean section Life Sciences & Biomedicine
Zdroj:	ACTA ANAESTHESIOLOGICA BELGICA
ISSN:	2736-5239 0001-5164
DOI:	10.56126/73.1.04
Popis:	Worldwide, most Cesarean sections (CS) are performed under neuraxial anesthesia. However, neuraxial anesthesia can fail and intraoperative breakthrough pain can occur. The aim of the present investigation was to evaluate the incidence of breakthrough pain in consecutive CS and to describe the potential risk factors for breakthrough pain. In a two center, prospective audit all CS performed under neuraxial anesthesia were included and the occurrence of breakthrough pain as well as all possible risk factors of breakthrough pain were recorded as well as the alternative anesthetic strategy. A total of 393 patients were enrolled in the study over 6 months, 206 in UZ Leuven and 187 in ZNA Middelheim, 295 elective CS and 98 secondary CS. Of all 393 participants, 65 experienced breakthrough pain during the CS (16.5%). Twoo significant risk factors for breakthrough pain during CS were observed: the duration of surgery (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2285039c41344abe58cbcd4cc56cceb0 https://doi.org/10.56126/73.1.04 Zobrazit plný text záznamu