1. Breakthrough pain during cesarean section under neuraxial anesthesia: a two-center prospective audit
- Author
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Roofthooft, Eva, Lippens, Noemie, Rex, Steffen, Devroe, Sarah, Moerman, Anneliese, Filetici, Nicoletta, and Van de Velde, Marc
- Subjects
ANALGESIA ,Science & Technology ,REGIONAL ANESTHESIA ,Anesthesiology ,Medicine and Health Sciences ,Breakthrough pain ,SPINAL-ANESTHESIA ,intraoperative pain ,neuraxial anesthesia ,Cesarean section ,Life Sciences & Biomedicine - Abstract
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
- Published
- 2022
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