Evidence map›Paper›PMID 38179106›Full record

ArticleBJA open2024

Continuous wound infusion catheter as part of a multimodal analgesia regimen for post-Caesarean delivery pain: a quality improvement impact study.

Cedar Fowler, Emily Stockert, Dan Hoang, Nan Guo, Edward Riley, Pervez Sultan, Brendan Carvalho

Open access · goldAbstract read
In one paragraph

Article in BJA open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 27% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Cedar FowlerDivision of Obstetric Anesthesiology and Maternal Health, Department of Anesthesiology Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Emily StockertDivision of Obstetric Anesthesiology and Maternal Health, Department of Anesthesiology Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Dan HoangKaiser Permanente Santa Clara Medical Center, Santa Clara, CA, USA.
Nan GuoDivision of Obstetric Anesthesiology and Maternal Health, Department of Anesthesiology Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Edward RileyDivision of Obstetric Anesthesiology and Maternal Health, Department of Anesthesiology Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Pervez SultanDivision of Obstetric Anesthesiology and Maternal Health, Department of Anesthesiology Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Brendan CarvalhoDivision of Obstetric Anesthesiology and Maternal Health, Department of Anesthesiology Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Stanford University · USKaiser Permanente Santa Clara Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The role of continuous wound infusion catheters as part of a multimodal analgesia strategy after Caesarean delivery is unclear. We introduced continuous wound infusion catheters to our multimodal analgesia regimen to evaluate the impact on analgesic outcomes after Caesarean delivery. Methods: After institutional review board (IRB) approval, a 4-month practice change was instituted as a quality improvement initiative. In addition to multimodal analgesia, continuous wound infusion catheters for up to 3 days were offered on alternate weeks for all women undergoing Caesarean deliveries. The primary outcome was postoperative in-hospital opioid consumption. Secondary outcomes were static and dynamic pain scores at 24 and 72 h, time until first analgesic request, opioid-related side-effects, length of stay, satisfaction (0-100%), and continuous wound infusion catheter-related complications. Results: All women scheduled for Caesarean delivery ( Conclusions: The addition of continuous wound infusion catheters to a multimodal analgesia regimen for post-Caesarean delivery pain management demonstrated minimal clinically significant analgesic benefits. Future studies are needed to explore the use of continuous wound infusion catheters in populations that may benefit most from this intervention.

Indexed as

local anaestheticopioid usagepractice changequality improvementwound infusion

Identifiers

PMID38179106
PMCPMC10761342
OpenAlexW4389706056

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.