Pain management after elective caesarean section under neuraxial anaesthesia: an updated systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations - PubMed
6 days ago
- #postoperative-care
- #pain-management
- #caesarean-section
- Elective caesarean section is a common and painful procedure with significant impacts on recovery if pain is uncontrolled.
- A systematic review updated recommendations for postoperative pain management after elective caesarean section under neuraxial anaesthesia.
- Recommendations include pre-operative intrathecal morphine or diamorphine, and post-delivery use of paracetamol, NSAIDs, and dexamethasone.
- If neuraxial opioids aren't used, fascial plane blocks or local anaesthetic wound infiltration are recommended alternatives.
- Postoperative regimen should include regular paracetamol and NSAIDs, with opioids reserved for rescue pain relief.
- Surgical techniques like Joel-Cohen incision and not closing the peritoneum are advised to reduce pain.
- The review emphasizes balancing analgesic efficacy with potential adverse effects for optimal recovery.
- Future research should focus on optimal dexamethasone doses, effective regional techniques, and standardized outcomes.