Caesarean section: pain and awareness without negligence

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Awareness following different techniques of general anaesthesia for caesarean section.

Using the isolated arm technique, the frequency of awareness was evaluated in 50 full-term patients undergoing elective Caesarean section under general anaesthesia. In 20 patients, anaesthesia was induced with thiopentone 4 mg kg-1, and in the other 30 patients, induction was with ketamine 1.5 mg kg-1. Following suxamethonium 1.5 mg kg-1 and tracheal intubation, anaesthesia was supplemented dur...

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Caesarean Section

Despite the World Health Organization’s (WHO) recommendation that caesarean section (c-section) rates should not exceed 15% [1], the high rates in some countries are cause for concern. For example, Italy, China, Mexico and Brazil all have rates higher than 36% [2] with great variation within each nation. The need for c-section has probably increased for many reasons, including rising rates of o...

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Caesarean Section

Caesarean section rates have been steadily increasing due to a higher number of sections for fetal distress, as diagnosed by cardiotocographic (CTG) monitoring in labour, and their increasing use for breech and multiple pregnancy. However, the greatest contribution to the current high caesarean rates, comes from elective repeat caesarean section (ERCS). The following is based on National Instit...

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Extradural morphine for the relief of pain following caesarean section.

Thirty patients took part in a double-blind trial to compare morphine 10 mg i.m. with morphine 5 mg into the extradural space for pain relief following Caesarean section. With the extradural route the mean time to first analgesia was 7.95 h compared with 4.75 h for the i.m. route. The mean number of further doses of diamorphine 7.5 mg required for pain relief in the first 24 h was 1.93 (+/- 0.3...

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Pain vs comfort scores after Caesarean section: a randomized trial.

BACKGROUND The use of negative words, such as 'sting' and 'pain', can increase patient pain and anxiety. We aimed to determine how pain scores compare with comfort scores and how the technique of pain assessment affects patient perceptions and experiences after operation. METHODS After Caesarean section, 300 women were randomized before post-anaesthesia review. Group P women were asked to rat...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1990

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1990.tb14288.x