Continuous local bupivacaine wound infusion with neuraxial morphine reduces opioid consumption after cesarean delivery

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Michael ZaretskyFranklin Chow

Abstract

Background: As a part of a quality improvement program, maternal postoperative opioid use and pain scores were compared between those receiving continuous infusion of bupivacaine for local incisional pain control with multimodal pain management and neuraxial morphine versus multimodal pain management with neuraxial morphine alone. Objective: We compared postoperative opioid use and pain scores between the multimodal pain management group with neuraxial morphine and the group receiving multimodal pain management, neuraxial morphine, and continuous infusion of bupivacaine for local incisional pain control. Study design: A retrospective cohort analysis of cesarean deliveries from January of 2015 through March of 2016 was undertaken. Deliveries were grouped by utilization of continuous infusion of bupivacaine for local incisional pain control. For each postoperative day, the average daily opioid use, antiemetic use and pain scores were determined. Patients received 1-2 tablets oxycodone-acetaminophen (5-325 mg) every 4 h as needed with oxycodone 5-10 mg immediate release tablets every 4 h as needed for breakthrough pain in addition to acetaminophen and ibuprofen. Total dose of narcotic, antiemetic use, and pain scores was compared ...Continue Reading

References

Sep 18, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T YangG Fick
Feb 22, 2012·International Journal of Obstetric Anesthesia·J P KainuK T Korttila
Mar 14, 2012·Archives of Internal Medicine·Asim AlamChaim M Bell
Mar 22, 2016·American Journal of Obstetrics and Gynecology·Brian T BatemanNiteesh K Choudhry
Apr 19, 2016·Anesthesia and Analgesia·Pervez SultanBrendan Carvalho
Jan 31, 2017·Anesthesiology Clinics·Caitlin Dooley Sutton, Brendan Carvalho

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Citations

Jan 5, 2021·The Journal of Obstetrics and Gynaecology Research·Hezhu WangYuquan Zhang

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