Bibliometric Analysis of Research Studies on Postoperative Pain Management of Cesarean Section

Zhai, Wei; Liu, Huili; Yu, Zhuoying; Jiang, Ye; Yang, Jing; Li, Min

doi:10.2147/jpr.s404659

Cited by 4 publications

(1 citation statement)

References 33 publications

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“…Sebagian besar ibu nifas pasca operasi SC dilaporkan mengalami nyeri ringan hingga berat pasca operasi caesar dalam waktu 24 jam. Durasi prosedur, jenis anestesi yang digunakan, dan jenis analgesik yang diberikan adalah semua ditemukan secara signifikan terkait dengan nyeri pasca operasi caesar (Zhai et al, 2023). Nyeri sedang hingga berat dilaporkan pada 75,5% ibu melahirkan pada jam ke-2, 80% pada jam ke-12, dan 58,6% pada jam ke-24.…”

Section: Pendahuluanunclassified

Manajemen Asuhan Keperawatan Pada Ny.M dengan Masalah Nyeri Akut Post Sectio Caesarea

Rohmania,

Mediawati,

Setyorini

2023

JOTING

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This study aims to describe the nursing management of acute pain problems in optimal one-day care in the Central Surgical Installation Room (IBS) RSUD using a 3M problem-based analysis (man, method, materials). The results of the research show that by carrying out optimal pain management, starting from assessment to evaluation of pain to optimizing non-pharmacological interventions (music therapy and deep breathing relaxation), patient pain complaints show improvement from moderate to mild scale (NRS) as well as the role of nurses in independent intervention also better. Problems studied in the room include the lack of optimal management of acute postoperative pain (from assessment to evaluation of pain, sometimes it is not done in the room), there is no SOP for pain intervention, there is no guideline for handling pain in the room, and the implementation of independent nurse intervention related to pain has not been implemented. In conclusion, with optimal assessment and evaluation of pain, including non-pharmacological technical interventions that are relatively easy to learn and apply independently by nurses, the results obtained are that the client's pain level is reduced from moderate pain on a scale of 5 to low pain on a scale of 3 on the NRS scale. Keywords: Central Surgical Installation, Nursing Care Management, Acute Pain

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Section: Pendahuluanunclassified

Manajemen Asuhan Keperawatan Pada Ny.M dengan Masalah Nyeri Akut Post Sectio Caesarea

Rohmania,

Mediawati,

Setyorini

2023

JOTING

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Prevalence and Associated Factors of Postoperative Acute Pain for Mothers Who Gave Birth With Cesarean Section: A Systematic Review and Meta-Analysis

Demilew,

Zurbachew,

Getachew

et al. 2024

Pain Management Nursing

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Effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean section

Chen,

Gao,

et al. 2024

World J Clin Cases

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BACKGROUND Following cesarean section, a significant number of women encounter moderate to severe pain. Inadequate management of acute pain post-cesarean section can have far-reaching implications, adversely impacting maternal emotional well-being, daily activities, breastfeeding, and neonatal care. It may also impede maternal organ function recovery, leading to escalated opioid usage, heightened risk of postpartum depression, and the development of chronic postoperative pain. Both the Chinese Enhanced Recovery After Surgery (ERAS) guidelines and the American ERAS Society guidelines consistently advocate for the adoption of multimodal analgesia protocols in post-cesarean section pain management. Esketamine, functioning as an antagonist of the N-Methyl-D-Aspartate receptor, has been validated for pain management in surgical patients and has exhibited effectiveness in depression treatment. Research has suggested that incorporating esketamine into postoperative pain management via pain pumps can lead to improvements in short-term depression and pain outcomes. This study aims to assess the efficacy and safety of administering a single dose of esketamine during cesarean section. AIM To investigate the effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean section. METHODS A total of 315 women undergoing elective cesarean section under combined spinal-epidural anesthesia were randomized into three groups: low-dose esketamine (0.15 mg/kg), high-dose esketamine (0.25 mg/kg), and control (saline). Postoperative Visual Analog Scale (VAS) scores were recorded at 6 hours, 12 hours, 24 hours, and 48 hours. Edinburgh Postnatal Depression Scale (EPDS) scores were noted on 2 days, 7 days and 42 days. Ramsay sedation scores were assessed at specified intervals post-injection. Postoperative adverse reactions were also recorded. RESULTS Low-dose group and high-dose group compared to control group, had significantly lower postoperative VAS pain scores at 6 hours 12 hours, and 24 hours (P < 0.05), with reduced analgesic usage (P < 0.05). EPDS scores and postpartum depression rates were significantly lower on 2 days and 7 days (P < 0.05). No significant differences in first exhaust and defecation times were observed (P > 0.05), but ambulation times were shorter (P < 0.05). Ramsay scores were higher at 5 minutes, 15 minutes, and upon room exit (P < 0.05). Low-dose group and high-dose group had higher incidences of hallucination, lethargy, and diplopia within 2 hours (P < 0.05), and with low-dose group had lower incidences of hallucination, lethargy, and diplopia than high-dose group (P < 0.05). CONCLUSION Esketamine enhances analgesia and postpartum recovery; a 0.15 mg/kg dose is optimal for cesarean sections, balancing efficacy with minimized adverse effects.

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Bibliometric Analysis of Research Studies on Postoperative Pain Management of Cesarean Section

Cited by 4 publications

References 33 publications

Manajemen Asuhan Keperawatan Pada Ny.M dengan Masalah Nyeri Akut Post Sectio Caesarea

Manajemen Asuhan Keperawatan Pada Ny.M dengan Masalah Nyeri Akut Post Sectio Caesarea

Prevalence and Associated Factors of Postoperative Acute Pain for Mothers Who Gave Birth With Cesarean Section: A Systematic Review and Meta-Analysis

Effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean section

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