C Section Iv Supplementation
Posted Date: Apr 22, 2024
- Investigator: Andrea Girnius
- Specialties:
- Type of Study: Observational/Survey
C-sections are among the most common surgical procedures performed US with an overall cesarean delivery rate in the US of 32.2% in 2022, an increased from 31.8% in 2020. Thus, knowledge about optimal management of anesthesia during these surgeries is critical as it affects a large number of women. There had been increasing attention paid to suboptimal anesthesia for mothers during the procedure. This insufficient pain management has been linked to long-term adverse outcomes, including the risk of postpartum depression, chronic pain, sleep disturbances, and posttraumatic stress disorder. There have been recommendations in the literature about how to approach intra-operative pain during C section, but they focus on discussion of risks and consent of the patient, best practices for assessment of the neuraxial block, communication with the patient, and conversion to general anesthesia if needed. While these are valuable recommendations, they do not address the role of intra-operative analgesia and anxiolysis, which could also have a role in this situation. The retrospective study described in section 2.1 represents the best available guidance we have on this topic. Further research will assist in anesthetic management of patients during C sections. The primary purpose of this study is to gain insights, create improvements, and enhance the practice of IV supplementation during C-sections within our institution. As there is little guidance in the literature on this topic, we also think that our findings can contribute to the general body of knowledge regarding intra-operative supplementation during C section.
Criteria:
Patients Who Have Undergone Cd Between January-December 2023 Who Have Received Iv Supplementation With Any Of The Following Medications Will Be Included: Iv Fentanyl, Iv Morphine, Iv Hydromorphone, Dexmedetomidine, Ketamine, Midazolam, Or Propofol. As There Are A Small Number Of Pregnant Patients Who Are Minors, It Is Possible That Minor Patients Will Be Included In The Study
Keywords:
Sedation, Cesarean Section
For More Information:
Andrea Girnius
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girniuaa@ucmail.uc.edu