Department of Cardiovascular Sciences, KULeuven and Department of Anaesthesiology, UZLeuven, Herestraat 49, 3000 Leuven, Belgium.
Department of Cardiovascular Sciences, KULeuven and Department of Anaesthesiology, UZLeuven, Herestraat 49, 3000 Leuven, Belgium.
Best Pract Res Clin Anaesthesiol. 2022 May;36(1):83-88. doi: 10.1016/j.bpa.2022.02.006. Epub 2022 Apr 10.
Worldwide, the most performed surgical intervention is cesarean section. Hence, post-cesarean pain is a common problem with significant health and economic impact on the individual patient and society. Adequate treatment of post-cesarean pain is necessary to facilitate enhanced recovery, improve neonatal outcome by improving breastfeeding success and bonding between mother and child, and reduce pain-induced side effects. Therefore, optimal pain relief is important, but in the obstetric population, this is often complex due to the interplay of mother and neonate. To facilitate recovery and temper the side effects of potent analgesic drugs such as opioids, multimodal analgesia is currently advocated, and clear international guidelines and recommendations have recently been described. In the present overview, we will discuss the most recent guidelines and evaluate various analgesic interventions.
在全球范围内,施行最多的手术干预是剖宫产术。因此,剖宫产术后疼痛是一种常见的问题,会对个体患者和社会的健康和经济产生重大影响。充分治疗剖宫产术后疼痛对于促进康复、通过提高母乳喂养成功率和母婴联系来改善新生儿结局以及减少疼痛引起的副作用是必要的。因此,最佳的疼痛缓解很重要,但在产科人群中,由于母亲和新生儿的相互作用,这通常很复杂。为了促进恢复并减轻阿片类等强效镇痛药的副作用,目前提倡多模式镇痛,并且最近已经描述了明确的国际指南和建议。在本综述中,我们将讨论最新的指南并评估各种镇痛干预措施。