Prevention and management of intra-operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach.
F PlaatS E R StanfordDominique Nuala LucasJ AndradeJ CarelessRobin RussellD BishopQ LoD BogodPublished in: Anaesthesia (2022)
A woman who experiences pain during caesarean section under neuraxial anaesthesia is at risk of adverse psychological sequelae. Litigation arising from pain during caesarean section under neuraxial anaesthesia has replaced accidental awareness under general anaesthesia as the most common successful medicolegal claim against obstetric anaesthetists. Generic guidelines on caesarean section exist, but they do not provide specific recommendations for this area of anaesthetic practice. This guidance aims to offer pragmatic advice to support anaesthetists in caring for women during caesarean section. It emphasises the importance of non-technical skills, offers advice on best practice and aims to encourage standardisation. The guidance results from a collaborative effort by anaesthetists, psychologists and patients and has been developed to support clinicians and promote standardisation of practice in this area.
Keyphrases
- chronic pain
- pain management
- primary care
- healthcare
- neuropathic pain
- quality improvement
- end stage renal disease
- ejection fraction
- newly diagnosed
- pregnant women
- chronic kidney disease
- prognostic factors
- palliative care
- mental health
- clinical practice
- peritoneal dialysis
- emergency department
- metabolic syndrome
- study protocol
- spinal cord injury
- adipose tissue
- randomized controlled trial
- physical activity