NCT06824740

Prevalence of Insufficient Analgesia in Caesarean Section Under Neuroaxial Anesthesia (PAICAN)

Prevalence of Insufficient Analgesia in Caesarean Section Under Neuroaxial Anesthesia

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 318 (actual)
• Sponsor: Parc de Salut Mar · Academic / Other
• Sex: Female
• Age: 18 Years
• Healthy volunteers: Not accepted

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.

Conditions

• Cesarean Section
• Analgesia

Timeline

• Start date: 2024-03-03
• Primary completion: 2025-01-06
• Completion: 2025-01-25
• First posted: 2025-02-13
• Last updated: 2025-04-15

Locations

1 site across 1 country: Spain