Perioperative analgesia in the obstetric patient: forgotten territory of consensus.
DOI:
https://doi.org/10.47924/neurotarget201895Keywords:
analgesia, obstetricAbstract
The inadequate management of post-operative pain in post-partum or post-cesarean section, can significantly affect the wellbeing of the mother and the newborn for multiple reasons, among which stand out the delay of ambulation, the time of the beginning of the ingestion and the restrictive pattern that adopts the ventilation, conditioning the accumulation of secretions.
The first records of obstetric anesthesia date back to the middle of the 19th century, when Scottish obstetrician James Simpson successfully administered ether to a woman during labor in 1847, for the relief of pain.
After two centuries after this milestone, the effect of anesthetics and analgesics on the mother and the product continues to be an active discussion among patients, anesthesiologists and obstetricians.
Based on the above, the management of postoperative pain in the obstetric patient represents a challenge for the anesthesiologist, since the impact of the drugs used on the maternal-fetal binomial must be taken into account, and at the same time keep in mind which are the most effective analgesic techniques.
In this work, the available evidence is reviewed to establish strategies that are safe for the maternal-fetal binomial.
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Copyright (c) 2018 Alfredo Covarrubias-Gómez, María López-Collada Estrada, Luz A. Templos-Esteban
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