Effectiveness of subarachnoid anesthesia with morphine as treatment of postoperative pain in cesarean section

Yuliel Varona Rodríguez, Liliam Maria Castle Manresa, Ariane Sainz Cut, Julius Michel Arias, Loved White
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Abstract

Foundation: The Postoperative pain is considered time-limited pain, often poorly controlled. Its management requires a great challenge, since postoperative analgesia must provide the mother with adequate control and at the same time facilitate care for the baby. Objective: To evaluate the effectiveness of postoperative analgesia with the use of intrathecal morphine. Method: Observational, descriptive and cross-sectional study carried out at the Martín Chang Puga General Teaching Hospital in the Nuevitas municipality, province of Camagüey, between January 2021 and December 2022. The sample was made up of 36 patients to whom subarachnoid anesthesia was applied with Hyperbaric lidocaine plus morphine for cesarean section. Results: The age between 27-31 years predominated, 63.9% of those who underwent cesarean section did not report postoperative pain. Almost half of the sample (47.2%) studied presented side effects with the use of intrathecal morphine, with pruritus predominating. 80.5% of patients were satisfied with postoperative analgesia. Conclusion: The majority of patients found satisfaction with the analgesic treatment despite the presence of adverse effects, so it can be stated that the use of intrathecal morphine is effective in the management of post-cesarean pain.
用吗啡进行蛛网膜下腔麻醉治疗剖宫产术后疼痛的效果
基础:术后疼痛被认为是有时间限制的疼痛,通常控制不佳。由于术后镇痛必须为母亲提供足够的控制,同时便于照顾婴儿,因此其管理需要面临巨大的挑战。目的:评估术后镇痛的有效性:评估使用鞘内吗啡进行术后镇痛的效果。方法:2021 年 1 月至 2022 年 12 月期间,在卡马圭省努埃维塔斯市的马丁-张普加综合教学医院进行了观察性、描述性和横断面研究。样本由 36 名在剖腹产手术中使用高压利多卡因加吗啡进行蛛网膜下腔麻醉的患者组成。研究结果年龄在 27-31 岁之间的患者居多,63.9%的剖宫产患者未报告术后疼痛。近一半的样本(47.2%)在使用鞘内吗啡时出现了副作用,主要是瘙痒。80.5%的患者对术后镇痛感到满意。结论尽管存在不良反应,但大多数患者对镇痛治疗表示满意,因此可以说使用鞘内吗啡治疗剖宫产术后疼痛是有效的。
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