150 posters, 16 sessions, 294 authors, 70 institutions
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Obstetric Anaesthesia Annual Scientific Meeting 2024
Thursday 9 - Friday 10 May 2024, Birmingham
6301737
Trust guidelines for assessment of neuraxial block in obstetrics and management of intraoperative pain during Caesarean section
Part of Topic
Trust guidelines for assessment of neuraxial block in obstetrics and management of intraoperative pain during Caesarean section
J Tupman1, S Collinson1, S Coyle1, D Eusuf2
1North West School of Anaesthesia, Health Education Northwest, Manchester, UK
2Department of Anaesthesia, St Mary’s Hospital, Manchester NHS Foundation Trust, Manchester, UK
INTRODUCTION
•Patient experience of intraoperative pain during Caesarean section under neuraxial block must be handled effectively to prevent negative sequelae.
•Our previous work1 revealed a variety of techniques for assessing neuraxial block and management of intraoperative pain.
We reviewed the evidence and produced a guideline which could standardise practice.
METHODS
•We reviewed the literature2 and created a guideline which includes pre-operative patient preparation, a multi-modal method for block checking and a flowchart to guide management of intraoperative pain.
•We then surveyed our workforce to assess whether our guideline was easy to follow and would be useful in practice.
RESULTS
•Our flowchart is as shown in Figure 1, providing guidance from first experience of pain and additionally, post-procedure management.
DISCUSSION
•Standardisation of care is likely to lead to better patient care, particularly with those less familiar with obstetric anaesthesia.
•Our guideline provides clear steps, including the importance of follow up.
References
1.S. Collinson, et al. P70 Assessment of neuraxial block and management of intraoperative pain in obstetrics. International Journal of Obstetric Anesthesia 54S1 (2023)
2.Plaat F, Stanford SER, Lucas DN. Prevention and management of intra-operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach. Anaesthesia. 2022; 77: 588-597