James O’Carroll

Read the full article here

journals.lww.com/anesthesiology…

#ObAnes #MaternalHealth #PatientSafety #Anaesthesia #CaesareanDelivery
3/3

when it occurs
•Lowest with spinal (3.7% elective, 5.7% non-elective)
•Highest with epidural top-up (12-13%)
•10% of those with pain dissatisfied with management.
Time to optimise techniques & pain management for better maternal experiences

2/3

New publication alert! 🚨
Now published in @Anesthesiology: The most comprehensive prospective study on intraoperative pain during caesarean delivery with
neuraxial anaesthesia.
3,693 patients in USA & Canada:
•Overall pain incidence: 7.6%
•Median pain score: 6/10
1/3

Michael Marmot

"The areas with the greatest need saw the biggest reductions in support. Is it any surprise health inequalities widened?"

@michaelmarmot.bsky.social on how government decisions shaped health inequalities, racism, and a million UK children living in destitution
www.bmj.com/content/390/...

Peri‐operative use of high‐flow nasal oxygen in obstetric patients: a systematic review Introduction High-flow nasal oxygen devices have gained interest in pre-oxygenation and peri-operative oxygenation strategies. However, their role in obstetric anaesthesia remains poorly defined. Th...

Our latest systematic review published in Anaesthesia explores perioperative high-flow nasal oxygen in obstetric patients.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/... @anaesthesiareports.bsky.social @ucl.ac.uk

Prospective observational study: ❄️ 🏒 by Bykar et al @UCLH

CoolStick's effectiveness vs. ethyl chloride for neuraxial sensory block in caesarean delivery: suggests CoolStick reduces CO2 emissions and costs. Would you implement it at your hospital?

doi.org/10.1016/j.ij...

You can find our paper here

journals.lww.com/anesthesiolo...

Intraoperative pain can have significant psychological impact for patients and medicolegal implications for providers. Further prospective studies are required to characterize, understand the impact of pain experiences and develop techniques to reduce this complication.

https://journals.lww.com/anesthesiology/abstract/9900/intraoperative_pain_during_cesarean_delivery_under.667.aspx

How common is pain during cesarean under neuraxial? Our review, published in @anesthesiology.bsky.social showed it to be v common, overall 17% (95%CI: 13% – 22%. Spinal anesthesia had the lowest pooled incidence of 14% (95%CI: 10% – 20% Epidural top-up highest of 33% (95%CI: 17% - 54%