Pharmacologic Analgesia for Cesarean Section: An Update in 2024.

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY Current Pain and Headache Reports Pub Date : 2024-10-01 Epub Date: 2024-07-01 DOI:10.1007/s11916-024-01278-8
Jing Cheng, Mengjiao Wan, Xiaoyan Yu, Rongrong Yan, Zirui Lin, Henry Liu, Lin Chen
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Abstract

Purpose of the review: With the increasing prevalence of cesarean section globally, the importance of perioperative analgesia for cesarean section is becoming increasingly evident. This article provides an overview and update on the current status of cesarean section worldwide and associated analgesic regimens.

Recent findings: Some recent studies unveiled potential association of neuraxial analgesia might be associated with children's autism, pharmacologic analgesia in obstetric will potentially gain some more attention. Various commonly used techniques and medications for analgesia in cesarean section are highlighted. While neuraxial administration of opioid remains the most classic method, the use of multimodal analgesia, particularly integration of nonsteroidal anti-inflammatory drugs, acetaminophen, peripheral nerve blocks has provided additional and better options for patients who are not suitable for intrathecal and neuraxial techniques and those experiencing severe pain postoperatively. Optimal pain management is crucial for achieving better clinical outcomes and optimal recovery, and with the continuous development of medications, more and better pharmacologic regimen will be available in the future.

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剖腹产的药物镇痛:2024 年的更新。
审查目的:随着全球剖宫产率的不断上升,剖宫产围术期镇痛的重要性日益凸显。本文概述并更新了全球剖宫产的现状及相关镇痛方案:最近的一些研究揭示了神经轴镇痛可能与儿童自闭症有关,因此产科药物镇痛可能会得到更多关注。本文重点介绍了剖腹产镇痛的各种常用技术和药物。虽然神经轴注射阿片类药物仍是最经典的方法,但多模式镇痛的使用,尤其是非类固醇抗炎药、对乙酰氨基酚和外周神经阻滞的整合使用,为不适合鞘内注射和神经轴注射技术的患者以及术后疼痛剧烈的患者提供了更多更好的选择。随着药物的不断发展,未来将有更多更好的药物治疗方案问世。
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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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