Analgesia peridural contínua: análise da eficácia, efeitos adversos e fatores de risco para ocorrência de complicações

Abstract

Continuous epidural analgesia is effective and safe. Complications were not severe. However, strict vigilance is mandatory to achieve satisfactory analgesia and a low incidence of complications.

Postoperative urinary retention: evaluation of patients using opioids analgesic

“…Nowadays, several techniques are used to treat postoperative pain (2)(3) . Patient-controlled analgesia, with opioids, is one of the most recent procedures and has been frequently studied in postoperative pain research (2,(4)(5) .…”

“…Although the use of opioids in postoperative analgesia is considered safe, the adverse effects of this class of analgesia can coexist with pain relief and comprise: respiratory depression, sedation, nausea and vomiting, itching, constipation and urinary retention (2)(3) .…”

“…In international medical literature, reports of several studies affirm that the incidence of urinary retention can vary from 3 to 40% (2,(5)(6)(7)(8)(9)(10)(11) . In Brazil, there are few studies about the theme, especially involving orthopedic surgeries (3,(12)(13) .…”

“…In view of these inquiries, we carried out this study, with a view to determining the incidence of postoperative urinary retention in patients who were using opioids as analgesia, which they controlled via the venous route (PCA), or continuous epidural analgesia, and describe the method used for bladder outlet, before the first spontaneous urination, in patients who presented urinary retention. Postoperative aiming to reduce the risk of posterior complications for the patient (3,10) .…”

Assistência De Enfermagem E a Perspectiva Da Mulher No Trabalho De Parto E Parto

“…Os dados apontam que em nenhum momento foi mencionada a analgesia de parto como orientação recebida para alívio da dor no processo parturitivo durante o pré-natal. A analgesia é importante, não somente para diminuir o sofrimento do paciente e promover bem estar, mas também porque a dor pode levar a uma série de complicações como problemas cardiovasculares e respiratórios (11) . A Lei do Acompanhante -Lei 11.108 de 7 de abril de 2005, é um recurso que permite a presença do acompanhante durante o processo parturitivo.…”