collection
MENU ▼
Read by QxMD icon Read
search

Postcesarean analgesia

shared collection
24 papers 0 to 25 followers
https://www.readbyqxmd.com/read/28625307/postcesarean-delivery-analgesia
#1
REVIEW
Brendan Carvalho, Alexander J Butwick
Effective pain management should be a key priority in women undergoing cesarean delivery. Suboptimal perioperative pain management is associated with chronic pain, greater opioid use, delayed functional recovery, impaired maternal-fetal bonding, and increased postpartum depression. Severe acute postoperative pain is also strongly associated with persistent pain after cesarean delivery. Multimodal analgesia is the core principle for cesarean delivery pain management. The use of neuraxial morphine and opioid-sparing adjuncts such as scheduled nonsteroidal anti-inflammatory medications and acetaminophen is recommended for all women undergoing cesarean delivery with neuraxial anesthesia unless contraindicated...
March 2017: Best Practice & Research. Clinical Anaesthesiology
https://www.readbyqxmd.com/read/28405033/post-caesarean-analgesia-what-is-new
#2
REVIEW
Sukhyanti Kerai, Kirti Nath Saxena, Bharti Taneja
Adequate post-operative analgesia after caesarean section (CS) is vital as it impacts the distinct surgical recovery requirements of the parturient. Although newer analgesic modalities and drugs for post-caesarean analgesia have been introduced over the recent years, review of the literature suggests suggests that we are far from achieving the goals of optimum post-operative analgesia. We conducted a systematic review of recent advances in modalities for post-caesarean analgesia. After systematic search and quality assessment of studies, we included a total of 51 randomised controlled trials that evaluated the role of opioids, transversus abdominis plane (TAP) block, wound infiltration/infusion, ketamine, gabapentin and ilioinguinal-iliohypogastric nerve block (II-IH NB) for post-caesarean analgesia...
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27799179/development-psychometric-evaluation-and-validation-of-a-brief-measure-of-emotional-preoperative-stress-b-meps-to-predict-moderate-to-intense-postoperative-acute-pain
#3
W Caumo, M Nazare Furtado da Cunha, S Camey, S Maris de Jezus Castro, I L S Torres, L Cadore Stefani
BACKGROUND: Preoperative stress might influence postoperative pain, thereby, it is desirable to assess it more precisely. Thus, we developed and evaluated the psychometric properties of a brief measure of emotional preoperative stress (B-MEPS) index using Item Response Category Characteristic Curves. We validated and assessed whether the B-MEPS can predict moderate to intense acute postoperative pain (MIAPP). METHODS: We included 863 adult patients who underwent elective surgeries (ASA I-III physical status)...
November 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28089711/regulation-of-expression-of-hyperalgesic-priming-by-estrogen-receptor-%C3%AE-in-the-rat
#4
Luiz F Ferrari, Dionéia Araldi, Jon D Levine
Hyperalgesic priming, a sexually dimorphic model of transition to chronic pain, is expressed as prolongation of prostaglandin E2-induced hyperalgesia by the activation of an additional pathway including an autocrine mechanism at the plasma membrane. The autocrine mechanism involves the transport of cyclic adenosine monophosphate (AMP) to the extracellular space, and its conversion to AMP and adenosine, by ecto-5'phosphodiesterase and ecto-5'nucleotidase, respectively. The end product, adenosine, activates A1 receptors, producing delayed onset prolongation of prostaglandin E2 hyperalgesia...
May 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/23707035/transcutaneous-carbon-dioxide-levels-and-oxygen-saturation-following-caesarean-section-performed-under-spinal-anaesthesia-with-intrathecal-opioids
#5
S Dalchow, O Lubeigt, G Peters, A Harvey, T Duggan, A Binning
BACKGROUND: Intrathecal opioids can be associated with respiratory depression which may have serious consequences. We describe the use of a non-invasive monitor (TOSCA) to measure transcutaneous carbon dioxide levels and percentage of haemoglobin oxygen saturation in post-caesarean section patients in two hospitals which used different intrathecal opioids. METHODS: Eighty-nine women undergoing caesarean section were monitored postoperatively until 08.00h on the first postoperative day...
July 2013: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28099291/transcutaneous-carbon-dioxide-measurements-in-women-receiving-intrathecal-morphine-for-cesarean-delivery-a-prospective-observational-study
#6
Jeanette R Bauchat, Robert McCarthy, Paul Fitzgerald, Stephen Kolb, Cynthia A Wong
BACKGROUND: Neuraxial morphine is the most commonly used analgesic technique after cesarean delivery. The incidence of respiratory depression is reported to be very low (0%-1.2%) in this patient population as measured by pulse oximetry and respiratory rates. However, hypercapnia may be a more sensitive measure of respiratory depression. In the current study, the incidence of hypercapnia events (transcutaneous CO2 [TcCO2] >50 mm Hg) for ≥2-minute duration was evaluated using the Topological Oscillation Search with Kinematical Analysis monitor in women who received intrathecal morphine for postcesarean delivery analgesia...
March 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26931110/patient-controlled-oral-analgesia-versus-nurse-controlled-parenteral-analgesia-after-caesarean-section-a-randomised-controlled-trial
#7
RANDOMIZED CONTROLLED TRIAL
A Bonnal, A Dehon, N Nagot, V Macioce, E Nogue, E Morau
We assessed the effectiveness of early patient-controlled oral analgesia compared with parenteral analgesia in a randomised controlled non-inferiority trial of women undergoing elective caesarean section under regional anaesthesia. Seventy-seven women received multimodal paracetamol, ketoprofen and morphine analgesia. The woman having patient-controlled oral analgesia were administered four pillboxes on the postnatal ward containing tablets and instructions for self-medication, the first at 7 h after the spinal injection and then three more at 12-hourly intervals...
May 2016: Anaesthesia
https://www.readbyqxmd.com/read/27884667/persistent-pain-after-caesarean-section-and-its-association-with-maternal-anxiety-and-socioeconomic-background
#8
B Daly, S Young, R Marla, L Riddell, R Junkin, N Weidenhammer, J Dolan, J Kinsella, R Zhang
BACKGROUND: Pain, both from the surgical site, and from other sources such as musculoskeletal backache, can persist after caesarean section. In this study of a predominantly socially deprived population we have sought to prospectively examine the association between antenatal maternal anxiety and socioeconomic background and the development of persistent pain of all sources after caesarean section. METHODS: Demographic details and an anxiety questionnaire were completed by 205 women before elective caesarean section...
February 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/26832926/side-effects-and-efficacy-of-neuraxial-opioids-in-pregnant-patients-at-delivery-a-comprehensive-review
#9
REVIEW
Sarah Armstrong, Roshan Fernando
Neuraxial opioids are an integral part of obstetric anaesthesia and have contributed to greatly improved analgesia for labour and caesarean delivery, both intraoperatively and postoperatively. Despite these advantages, neuraxial opioids may be associated with a number of side effects, some of which (such as respiratory depression), although rare, may be associated with significant morbidity and mortality. The risk of respiratory depression appears to be increased with less lipophilic opioids such as morphine but can be reduced with careful patient selection and monitoring...
May 2016: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/26650717/nalbuphine-for-treatment-of-opioid-induced-pruritus-a-systematic-review-of-literature
#10
REVIEW
Rose G Jannuzzi
OBJECTIVES: Opioid-induced pruritus is a common side effect of opioid treatment in patients with acute pain associated with surgery or childbirth. There are several options available to treat opioid-induced pruritus, including nalbuphine. However, it is not known whether nalbuphine offers greater efficacy in treating pruritus without attenuation of analgesia and an increase in the incidence of adverse outcomes. METHODS: A systematic search of studies assessing treatment efficacy of nalbuphine was conducted through Medline, PubMed, Cochrane Library, CINAHL, and ProQuest databases...
January 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/26690355/circulating-maternal-cortisol-levels-during-vaginal-delivery-and-elective-cesarean-section
#11
Ylva Vladic Stjernholm, Annie Nyberg, Monica Cardell, Charlotte Höybye
INTRODUCTION: Maternal S-cortisol levels increase throughout pregnancy and peak in the third trimester. Even higher levels are seen during the physical stress of delivery. Since analgesia for women in labor has improved, it is possible that maternal stress during labor is reduced. The aim of this study was to compare maternal S-cortisol during vaginal delivery and elective cesarean section. MATERIALS AND METHODS: Twenty healthy women with spontaneous vaginal delivery and healthy women (n = 20) undergoing elective cesarean section were included in the study...
August 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/26655725/practice-guidelines-for-the-prevention-detection-and-management-of-respiratory-depression-associated-with-neuraxial-opioid-administration-an-updated-report-by-the-american-society-of-anesthesiologists-task-force-on-neuraxial-opioids-and-the-american-society
#12
https://www.readbyqxmd.com/read/26225500/quadratus-lumborum-block-for-postoperative-pain-after-caesarean-section-a-randomised-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Rafael Blanco, Tarek Ansari, Emad Girgis
BACKGROUND: Effective postoperative analgesia after caesarean section is important because it enables early ambulation and facilitates breast-feeding. Several case reports have shown that local anaesthetic injection around the quadratus lumborum muscle is effective in providing pain relief after various abdominal operations and in patients with chronic pain. The quadratus lumborum block (QLB) is performed in close proximity to the surface and uses a fascial compartment path to extend the distribution of local anaesthesia into the posterior abdominal wall and paravertebral space...
November 2015: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/26623404/preventive-effect-of-ilioinguinal-nerve-block-on-postoperative-pain-after-cesarean-section
#14
Elham Naghshineh, Samira Shiari, Mitra Jabalameli
BACKGROUND: Cesarean section is a major operation that can be the predictor of postoperative pain and discomfort and, therefore, providing the effective postoperative analgesia is an important factor to facilitate sooner movement of the patient, better care of infants. The aim of this study was to determine the preventive effect of ilioinguinal nerve block on pain after cesarean section. MATERIALS AND METHODS: In a randomized clinical trial study, 80 female candidates for cesarean section under general anesthesia were selected and divided into two groups...
2015: Advanced Biomedical Research
https://www.readbyqxmd.com/read/26585767/rethinking-general-anesthesia-for-cesarean-section
#15
REVIEW
Hiroyiki Sumikura, Hidetomo Niwa, Masaki Sato, Tatsuo Nakamoto, Takashi Asai, Satoshi Hagihira
In this review, we describe the current consensus surrounding general anesthetic management for cesarean section. For induction of anesthesia, rapid-sequence induction using thiopental and suxamethonium has been the recommended standard for a long time. In recent years, induction of anesthesia using propofol, rocuronium, and remifentanil have been gaining popularity. To prevent aspiration pneumonia, a prolonged preoperative fasting and an application of cricoid pressure during induction of anesthesia have been recommended, but these practices may require revision...
April 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/25806400/a-randomized-controlled-trial-comparing-two-multimodal-analgesic-techniques-in-patients-predicted-to-have-severe-pain-after-cesarean-delivery
#16
RANDOMIZED CONTROLLED TRIAL
Jessica L Booth, Lynnette C Harris, James C Eisenach, Peter H Pan
BACKGROUND: Improved pain control after cesarean delivery remains a challenging objective. Poorly treated acute pain following delivery is associated with an increased risk of chronic pain and depression. This study was conducted to determine whether the addition of systemic acetaminophen and an increased dose of intrathecal morphine would further reduce acute pain. The primary outcome was pain intensity with movement at 24 hours postoperatively. Secondary measures included persistent pain and depression at 8 weeks...
April 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/25005057/a-randomized-controlled-trial-of-uterine-exteriorization-versus-in-situ-repair-of-the-uterine-incision-during-cesarean-delivery
#17
RANDOMIZED CONTROLLED TRIAL
Waleed El-Khayat, Mohamed Elsharkawi, Amr Hassan
OBJECTIVE: To compare extra-abdominal repair of the uterine incision at cesarean delivery with in situ repair. METHODS: The present study was a double-blind randomized controlled trial conducted at a university hospital in Egypt during 2012-2013, and included women with an indication for cesarean delivery. Extra-abdominal repair was used in group 1 (n=500) and in situ repair in group 2 (n=500). The primary outcome measure was the surgery duration. RESULTS: Surgery duration was significantly longer in group 1 than group 2 (49...
November 2014: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/24764186/transversus-abdominis-plane-block-does-not-improve-early-or-late-pain-outcomes-after-cesarean-delivery-a-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Dolores M McKeen, Ronald B George, John Colin Boyd, Victoria M Allen, Aaron Pink
OBJECTIVES: Cesarean delivery is a common surgical procedure with anticipated substantial postoperative pain. The addition of a transversus abdominis plane block (TAPB) to a multimodal analgesic regimen that includes intrathecal morphine may provide improved early pain outcomes and decrease the risk of chronic post-surgical pain. The purpose of this research was to assess the ability of an ultrasound-guided TAPB with low-dose ropivacaine to decrease early postoperative pain, opioid consumption, and risk of developing persistent pain when compared with a placebo block...
July 2014: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/24739207/transversus-abdominis-plane-block-for-analgesia-after-cesarean-delivery-a-systematic-review
#19
REVIEW
P Fusco, P Scimia, G Paladini, M Fiorenzi, E Petrucci, T Pozone, F Vacca, A Behr, M Micaglio, G Danelli, V Cofini, S Necozione, G Carta, F Petrini, F Marinangeli
Cesarean delivery is a major surgical procedure, after which a woman can experience substantial postoperative discomfort or pain. Inadequate postoperative analgesia is one of the most common reasons for poor patient satisfaction following cesarean delivery. Although spinal or systemic opioids are currently the gold standard to achieve effective analgesia, they are often associated with side effects. In the last few years there has been growing interest in abdominal plane blocks, with promising data on their efficacy...
February 2015: Minerva Anestesiologica
https://www.readbyqxmd.com/read/23563797/prophylaxis-and-treatment-of-the-side-effects-of-neuraxial-morphine-analgesia-following-cesarean-delivery
#20
REVIEW
Jennifer E Dominguez, Ashraf S Habib
PURPOSE OF REVIEW: Neuraxial morphine is commonly used for analgesia after cesarean delivery, but is frequently associated with postoperative nausea and vomiting (PONV) and pruritus. This review describes the recent advances in the management of those side-effects. RECENT FINDINGS: Neuraxial-morphine-induced side-effects are dose related; therefore, the minimum effective dose should be used. Dexamethasone, 5HT3 receptor antagonists, antihistamines, and anticholinergics reduce the incidence of PONV, whereas metoclopramide 10 mg does not appear to be effective for PONV prophylaxis in this patient population...
June 2013: Current Opinion in Anaesthesiology
label_collection
label_collection
5881
1
2
2015-12-04 15:39:47
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"