Prophylaxis and treatment of the side-effects of neuraxial morphine analgesia following cesarean delivery.

Author: DominguezJennifer E, HabibAshraf S

Paper Details 
Original Abstract of the Article :
PURPOSE OF REVIEW: Neuraxial morphine is commonly used for analgesia after cesarean delivery, but is frequently associated with postoperative nausea and vomiting (PONV) and pruritus. This review describes the recent advances in the management of those side-effects. RECENT FINDINGS: Neuraxial-morphi...See full text at original site
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引用元:
https://doi.org/10.1097/ACO.0b013e328360b086

データ提供:米国国立医学図書館(NLM)

Managing Side Effects of Neuraxial Morphine After Cesarean Delivery

This research delves into the delicate world of post-cesarean pain management, specifically focusing on the challenges of managing side effects associated with neuraxial morphine. Imagine a delicate balance—the need for effective pain relief after surgery, while minimizing the unpleasant side effects of the medication. This research aims to improve that balance.

The study explores the latest findings on managing two common side effects: nausea and vomiting (PONV) and pruritus (itching). The researchers highlight the dose-dependent nature of these side effects, suggesting that using the minimum effective dose is crucial. They also explore various medications and interventions for preventing and treating these side effects.

One of the key findings is that a combination of antiemetics might be more effective than single-agent therapy for preventing PONV. This is significant, as it could pave the way for more effective pain management without compromising patient comfort.

Combating Side Effects: A Multi-Pronged Approach

This research emphasizes the need for a multifaceted approach to managing neuraxial morphine-induced side effects. It highlights the importance of careful dose selection, personalized medication strategies, and exploring alternative interventions, such as acupressure.

A Call for Further Research

This research acts as a compass, pointing towards future research directions. There's a need for studies investigating the effectiveness of combination antiemetic therapy, long-acting antiemetics, and strategies for effectively managing pruritus. The goal? To ensure that women can experience a smoother and more comfortable recovery after cesarean delivery.

Dr. Camel's Conclusion

This research navigates the often-challenging terrain of post-cesarean pain management. It sheds light on the complexities of managing side effects associated with neuraxial morphine, emphasizing the need for individualized approaches and further research. With a focused effort, we can improve the comfort and recovery of women following cesarean delivery, ensuring a smoother transition into motherhood.

Date :
  1. Date Completed 2013-12-16
  2. Date Revised 2013-05-01
Further Info :

Pubmed ID

23563797

DOI: Digital Object Identifier

10.1097/ACO.0b013e328360b086

SNS
PICO Info
in preparation
Languages

English

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