Evidence map›Paper›PMID 35325933›Full record

ArticleAnaesthesia2022

Prevention and management of intra-operative pain during caesarean section under neuraxial anaesthesia: a technical and interpersonal approach.

F Plaat, S E R Stanford, D N Lucas, J Andrade, J Careless, R Russell, D Bishop, Q Lo, D Bogod

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Anaesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07340970 (Patient Perception of Sensory Stimuli During Elective Cesarean Delivery Under Neuraxial Anesthesia), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
19.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07340970 recruitingnot on this mapstarted 2026, after this paper: background citation

Patient Perception of Sensory Stimuli During Elective Cesarean Delivery Under Neuraxial Anesthesia (PIONEER): A Multicenter Prospective Cohort Study

TypeobservationalSponsorUniversity of British ColumbiaRan2026 to 2027Enrolled1,005ConditionsIntraoperative PainArmsPatient-initiated request for pharmacological intervention during cesarean delivery
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
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  10. Pain only she knows.Anaesthesia · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 9 institutions in 3 countries.

F PlaatDepartment of Anaesthesia, Queen Charlottes and Chelsea Hospital, London, UK.
S E R StanfordNorthumberland, UK.
D N LucasDepartment of Anaesthesia, London North West University Healthcare NHS Trust, London, UK.ORCID 0000-0001-8130-2067
J AndradeSchool of Psychology, University of Plymouth, Plymouth, UK.
J CarelessAssociate Specialist, Department of Anaesthesia, Buckinghamshire Healthcare NHS Trust, Buckinghamshire, UK.
R RussellDepartment of Anaesthesia, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0001-7294-6629
D BishopMetropolitan Department of Anaesthetics, Critical Care and Pain Management, University of KwaZulu-Natal, Pietermaritzburg, South Africa.ORCID 0000-0001-9861-3646
Q LoDepartment of Anaesthesia, The Royal Marsden NHS Foundation Trust, London, UK.
D BogodDepartment of Anaesthesia, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Buckinghamshire Healthcare NHS Trust · GBLondon North West Healthcare NHS Trust · GBMuseums Northumberland · USNottingham University Hospitals NHS Trust · GBOxford University Hospitals NHS Trust · GBQueen Charlotte's and Chelsea Hospital · GBRoyal Marsden NHS Foundation Trust · GBUmkhuseli Innovation and Research Management · ZAUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A woman who experiences pain during caesarean section under neuraxial anaesthesia is at risk of adverse psychological sequelae. Litigation arising from pain during caesarean section under neuraxial anaesthesia has replaced accidental awareness under general anaesthesia as the most common successful medicolegal claim against obstetric anaesthetists. Generic guidelines on caesarean section exist, but they do not provide specific recommendations for this area of anaesthetic practice. This guidance aims to offer pragmatic advice to support anaesthetists in caring for women during caesarean section. It emphasises the importance of non-technical skills, offers advice on best practice and aims to encourage standardisation. The guidance results from a collaborative effort by anaesthetists, psychologists and patients and has been developed to support clinicians and promote standardisation of practice in this area.

Indexed as

Anesthesia, ObstetricalAnesthesiologyAnesthesia, GeneralCesarean SectionFemaleHumansPainPregnancycaesarean sectionepiduralpainspinaltesting

Identifiers

PMID35325933
PMCPMC9311138
OpenAlexW4220811890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.