A review of opioid use within a multimodal analgesia approach to enhance post-caesarean section pain relief.

Q3 Medicine

Journal of opioid management Pub Date : 2025-05-01 DOI:10.5055/jom.0921

Gerrard Ferreira, Tamara Lebedevs, Stephanie Wai Khuan Teoh

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引用次数: 0

Abstract

Aim: This study aims to assess the application of opioids for pain control in patients following a cesarean section (CS) at a tertiary referral obstetric hospital.

Methods: A retrospective cohort audit of CSs in September 2022 was conducted. Medical records were reviewed to capture patient demographics, opioid used, and discharge medications.

Results: Medical records of 46 patients were reviewed. Of those, 46 percent (n = 21) had a non-elective lower uterine CS (NELUSCS), 43 percent (n = 20) had an elective lower uterine CS (ELUSCS), and the remainder had a nonelective classical CS (NEClassicalCS). NEClassicalCS had higher total morphine equivalent opioid use with an average of 245.7 mg, compared with 92.4 mg and 60.1 mg for NELUSCS and ELUSCS, respectively. Tramadol was the most common opioid supplied on discharge (85 percent), followed by buprenorphine (17 percent) and oxycodone/naloxone (15 percent). An average discharge medication supply of 3 days was provided.

Conclusions: NEClassicalCS procedures had higher use of opioid pain medications. All patients were initiated on opioids post-CS, with 93 percent (n = 43) discharged with at least one opioid.

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阿片类药物在多模式镇痛方法中使用以增强剖宫产后疼痛缓解的综述。

目的：本研究旨在评估阿片类药物在三级转诊产科医院剖宫产（CS）后患者疼痛控制中的应用。方法：对2022年9月的CSs患者进行回顾性队列审计。对医疗记录进行了审查，以了解患者的人口统计、阿片类药物的使用和出院药物。结果：回顾了46例患者的病历。其中，46% （n = 21）为非选择性下子宫CS (NELUSCS), 43% （n = 20）为选择性下子宫CS (ELUSCS)，其余为非选择性经典子宫CS （NEClassicalCS）。与NELUSCS和ELUSCS的92.4 mg和60.1 mg相比，NELUSCS和ELUSCS的总吗啡当量阿片类药物使用量更高，平均为245.7 mg。曲马多是出院时最常见的阿片类药物（85%），其次是丁丙诺啡（17%）和羟考酮/纳洛酮（15%）。出院时平均用药时间为3天。结论：非经典cs手术有较高的阿片类止痛药使用。所有患者在cs后开始使用阿片类药物，93% （n = 43）出院时至少使用一种阿片类药物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of opioid management Medicine-Anesthesiology and Pain Medicine

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： The Journal of Opioid Management deals with all aspects of opioids. From basic science, pre-clinical, clinical, abuse, compliance and addiction medicine, the journal provides and unbiased forum for researchers and clinicians to explore and manage the complexities of opioid prescription.