Luna-Hernández P, Chaparro-Zepeda VJ, Cisneros-Rivas FJ, Zamora-Meraz RHR

Language: Spanish
References: 0
Page: 199
PDF size: 91.81 Kb.

ABSTRACT

Cesarean section pain is expected from moderate to severe. The analgesic management begins in the preoperative, with the evaluation of the risk factors, continues with the definition of the anesthetic technique to be used, and finish with the planed anesthetic technique. Recommended anesthetic technique is epidural block, provided there is no imminent threat to the life of the woman or the fetus, coagulopathies, hypovolemic shock, increased intracranial pressure and acute respiratory. For epidural block the combined dose of local anesthetic, opioid adjuvant and bicarbonate is recommended. In the postoperative period, analgesia should be multimodal applying intravenously the synergy of NSAIDs/COX-2 and continuing with analgesia via epidural controlled by the patient (PCA). Regional techniques such as transverse plane blockage of the abdomen and iliohypogastric and ilioinguinal block are good analgesic strategies (for full version and recommendations visit http://www.painoutmexico.com).