Local infiltration analgesia during caesarean delivery in general anesthesia
Authors:
MUDr. Pavlína Nosková, Ph.D.
Authors‘ workplace:
Klinika anesteziologie, resuscitace a intenzivní medicíny 1. LF UK a VFN v Praze
Published in:
Prakt Gyn 2016; 20(2): 93-96
Category:
Gynecology and Obstetrics
Overview
The main part of postoperative pain treatment during caesarean delivery in general anesthesia is multimodal approach. It means combination of various analgesics. The main aim of this principle is reduction of opioid doses and their adverse effects. Local infiltration analgesia (LIA) and transversus abdominis plane (TAP) block are methods of improvement quality of postoperative analgesia.
Key words:
caesarean delivery – local anesthetics – local infiltration analgesia – postoperative analgesia – TAP block
Sources
1. Bush DJ, Lyons G, MacDonald R. Diclofenac for analgesia after caesarean section. Anaesthesia 1992; 47(12): 1075–1077.
2. Eisenach JC, Pan PH, Smiley R, Lavand‘homme P et al. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression. Pain 2008; 140(1): 87–94.
3. Bláha J, Nosková P, Klozová R et al. Současné postupy v porodnické anestezii II. Celková anestezie u císařského řezu. Anesteziologie a intenzivní medicína 2013; 24(3):186–192.
4. Larsen R. Anestezie. Grada Publishing: Praha 2004.
5. Whiteman A, Bajaj S, Hasan M. Novel techniques of local anaesthetic infiltration. Continuing Education in Anaesthesia, Critical Care an Pain 2011; 11(5): 167–171.
6. Moiniche S, Mikkelsen S, Wetterslev J, Dahl JB. A qualitative systematic review of incisional local anaesthesia for postoperative pain relief after abdominal operations. British journal of anaesthesia 1998; 81(3): 377–383.
7. Kainu JP, Sarvela J, Halonen P et al. Continuous wound infusion with ropivacaine fails to provide adequate analgesia after caesarean section. International journal of obstetric anesthesia 2012; 21(2): 119–124.
8. Lavand‘homme PM, Roelants F, Waterloos H et al. Postoperative analgesic effects of continuous wound infiltration with diclofenac after elective cesarean delivery. Anesthesiology 2007; 106(6): 1220–1225.
9. Li X, Zhou M, Shi X et al. Local anaesthetic wound infiltration used for caesarean section pain relief: a meta-analysis. International journal of clinical and experimental medicine 2015; 8(6): 10213–10224.
10. Givens VA, Lipscomb GH, Meyer NL. A randomized trial of postoperative wound irrigation with local anesthetic for pain after cesarean delivery. American journal of obstetrics and gynecology 2002; 186(6): 1188–1191.
11. Bamigboye AA, Hofmeyr GJ. Caesarean section wound infiltration with local anaesthesia for postoperative pain relief – any benefit? South African medical journal / Suid-Afrikaanse tydskrif vir geneeskunde 2010; 100(5): 313–319.
12. McDonnell JG, Curley G, Carney J et al. The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial. Anesthesia and analgesia 2008; 106(1): 186–191.
13. Naidu RK, Richebe P. Probable local anesthetic systemic toxicity in a postpartum patient with acute Fatty liver of pregnancy after a transversus abdominis plane block. A & A case reports 2013; 1(5): 72–74.
14. Lancaster P, Chadwick M. Liver trauma secondary to ultrasound-guided transversus abdominis plane block. British journal of anaesthesia 2010; 104(4): 509–510.
15. McKeen DM, George RB, Boyd JC et al. Transversus abdominis plane block does not improve early or late pain outcomes after Cesarean delivery: a randomized controlled trial. Canadian journal of anaesthesia / Journal canadien d‘anesthesie 2014; 61(7): 631–640.
16. Fusco P, Scimia P, Paladini G et al. Transversus abdominis plane block for analgesia after Cesarean delivery. A systematic review. Minerva anestesiologica 2015; 81(2): 195–204.
17. Mishriky BM, George RB, Habib AS. Transversus abdominis plane block for analgesia after Cesarean delivery: a systematic review and meta-analysis. Canadian journal of anaesthesia / Journal canadien d‘anesthesie 2012; 59(8): 766–778.
18. Guo Q, Li R, Wang L et al. Transversus abdominis plane block versus local anaesthetic wound infiltration for postoperative analgesia: A systematic review and meta-analysis. International journal of clinical and experimental medicine 2015; 8(10): 17343–17352.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
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