Comparison Between The Effect Of Wound Infiltration With Bupivacaine Versus Pethidine For Post Cesarean Section Pain Relief: A Randomized Controlled Trial
Samia Mohamed Saber Mansour;
Abstract
Summary
F
emalesundergoingcesareansectionoftenwishtobeawakepostoperativelyandtoavoidexcessivemedicationsaffectinginteractionswiththeirnewborninfantandvisitors.Localanestheticsarewidelyusedtoprovidepostoperativepainrelief,butanalgesiaisrarelymaintainedformorethan4-8hourswithlargestactinglocalanesthetics(bupivacaine)afterspinalanesthesiaadministration.
Thesystemicadministrationofhighdosesofopiateshasbeenassociatedwithsideeffectsrangingfrompruritus,nausea,andvomiting,tosedationandrespiratorydepression.Subcutaneousadministrationoflocalanestheticisamethodofpostoperativepaincontrolaftercesareansection.Potentialadvantagesofsubcutaneousrouteincludenofirstpassdrugmetabolismbytheliver,improvedpatientcompliance,convenience,comfortandconsistentanalgesia.
ASpost-cesareansectionpainisanimportantissueinobstetrics.Largeamountsofopioidanalgesicdrugsareoftenrequiredinthemanagementofintensepost-operativepainwhichcausesevidentdisruptionofmother/newbornbonding.Localanestheticseitherontheirownorincombinationwithopioidsornonsteroidalanti-inflammatorydrugshavebeenemployedasanadjuncttootherpostoperativepainreliefstrategies.
F
emalesundergoingcesareansectionoftenwishtobeawakepostoperativelyandtoavoidexcessivemedicationsaffectinginteractionswiththeirnewborninfantandvisitors.Localanestheticsarewidelyusedtoprovidepostoperativepainrelief,butanalgesiaisrarelymaintainedformorethan4-8hourswithlargestactinglocalanesthetics(bupivacaine)afterspinalanesthesiaadministration.
Thesystemicadministrationofhighdosesofopiateshasbeenassociatedwithsideeffectsrangingfrompruritus,nausea,andvomiting,tosedationandrespiratorydepression.Subcutaneousadministrationoflocalanestheticisamethodofpostoperativepaincontrolaftercesareansection.Potentialadvantagesofsubcutaneousrouteincludenofirstpassdrugmetabolismbytheliver,improvedpatientcompliance,convenience,comfortandconsistentanalgesia.
ASpost-cesareansectionpainisanimportantissueinobstetrics.Largeamountsofopioidanalgesicdrugsareoftenrequiredinthemanagementofintensepost-operativepainwhichcausesevidentdisruptionofmother/newbornbonding.Localanestheticseitherontheirownorincombinationwithopioidsornonsteroidalanti-inflammatorydrugshavebeenemployedasanadjuncttootherpostoperativepainreliefstrategies.
Other data
| Title | Comparison Between The Effect Of Wound Infiltration With Bupivacaine Versus Pethidine For Post Cesarean Section Pain Relief: A Randomized Controlled Trial | Other Titles | مقارنة بين تأثير حقن الجرح بالبوبيفكين والبيثيدين لتخفيف الألم بعد القيصرية: دراسة عشوائية ضابطة | Authors | Samia Mohamed Saber Mansour | Issue Date | 2017 |
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