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Optimal Pain Management After Cesarean Delivery.
Anesthesiol Clin. 2017 Mar; 35(1):107-124.AC

Abstract

Cesarean delivery rates are increasing worldwide, and effective postoperative pain management is a key priority of women undergoing cesarean delivery. Inadequate pain management in the acute postoperative period is associated with persistent pain, greater opioid use, delayed functional recovery, and increased postpartum depression. In addition to pain relief, optimal management of patients after cesarean delivery should address the goals of unrestricted maternal mobility, minimal maternal and neonatal side effects, rapid recovery to baseline functionality, and early discharge home. Multimodal analgesia should include neuraxial morphine in conjunction with nonopioid adjuncts, with additional oral or intravenous opioids reserved for severe breakthrough pain.

Authors+Show Affiliations

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA.Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA. Electronic address: bcarvalho@stanford.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28131114

Citation

Sutton, Caitlin Dooley, and Brendan Carvalho. "Optimal Pain Management After Cesarean Delivery." Anesthesiology Clinics, vol. 35, no. 1, 2017, pp. 107-124.
Sutton CD, Carvalho B. Optimal Pain Management After Cesarean Delivery. Anesthesiol Clin. 2017;35(1):107-124.
Sutton, C. D., & Carvalho, B. (2017). Optimal Pain Management After Cesarean Delivery. Anesthesiology Clinics, 35(1), 107-124. https://doi.org/10.1016/j.anclin.2016.09.010
Sutton CD, Carvalho B. Optimal Pain Management After Cesarean Delivery. Anesthesiol Clin. 2017;35(1):107-124. PubMed PMID: 28131114.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optimal Pain Management After Cesarean Delivery. AU - Sutton,Caitlin Dooley, AU - Carvalho,Brendan, Y1 - 2016/12/12/ PY - 2017/1/30/entrez PY - 2017/1/31/pubmed PY - 2017/2/14/medline KW - Cesarean delivery KW - Intrathecal opioids KW - Multimodal analgesia KW - Pain management SP - 107 EP - 124 JF - Anesthesiology clinics JO - Anesthesiol Clin VL - 35 IS - 1 N2 - Cesarean delivery rates are increasing worldwide, and effective postoperative pain management is a key priority of women undergoing cesarean delivery. Inadequate pain management in the acute postoperative period is associated with persistent pain, greater opioid use, delayed functional recovery, and increased postpartum depression. In addition to pain relief, optimal management of patients after cesarean delivery should address the goals of unrestricted maternal mobility, minimal maternal and neonatal side effects, rapid recovery to baseline functionality, and early discharge home. Multimodal analgesia should include neuraxial morphine in conjunction with nonopioid adjuncts, with additional oral or intravenous opioids reserved for severe breakthrough pain. SN - 1932-2275 UR - https://www.unboundmedicine.com/medline/citation/28131114/Optimal_Pain_Management_After_Cesarean_Delivery DB - PRIME DP - Unbound Medicine ER -