Buprenorphine in Postoperative Pain Management

Vadivelu, Nalini; Anwar, Muhammad

doi:10.1016/j.anclin.2010.08.015

Cited by 73 publications

(97 citation statements)

References 47 publications

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“…Poorly controlled pain under these circumstances may produce a range of detrimental acute adverse physiologic responses, including decreased respiratory motion, cough and sputum excretion leading to atelectasis, retention of secretions and pneumonia. 24 Caesarean section patients have additional compelling reasons to receive adequate pain relief, as early mobilisation is a key factor in reducing the risk of thromboembolic disease, which is increased during pregnancy. Besides, these patients need to be pain free to care for their newborns and to breastfeed them effectively 5 .…”

Section: Resultsmentioning

confidence: 99%

Transversus abdominis plane block after Caesarean section in an area with limited resources

Kahsay

Elsholz

Bahta

2017

Southern African Journal of Anaesthesia and Analgesia

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Background:The primary objective of this study was to assess whether transversus abdominis plane (TAP) block is effective as part of multimodal pain management following Caesarean section in an area with limited resources. The study also looked at the advantage of this block in reducing the consumption of morphine and diclofenac postoperatively. Methods: After approval by the institutional ethics committee and informed consent of participants, 108 ASA I and II patients for Caesarean section under spinal anaesthesia were randomly allocated to either the TAP block group or the control. The TAP block group received a landmark-orientated, bilateral TAP block in the triangle of Petit. Postoperative pain treatment followed the same protocol for both groups. Visual analogue scale (VAS) pain scores were measured at 2, 4, 6, 8, 12, 18 and 24 h postoperatively. At the same time, consumption of diclofenac and morphine was measured and compared. Results: No adverse effects of the TAP block were detected. VAS pain scores were significantly lower in the TAP block group at rest, deep breathing, intentional coughing, and mobilisation in all cases (p < 0. 05). Morphine and diclofenac consumption was significantly higher in the control group (p < 0. 001). Conclusion: TAP block reduced the VAS pain scores significantly both at rest and during stressors. As a result, morphine and diclofenac consumption was significantly reduced in the TAP block group. Therefore, it is feasible to implement TAP block as part of a multimodal analgesia regimen after Caesarean section in a tertiary health care centre in a developing nation.

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Section: Resultsmentioning

confidence: 99%

Transversus abdominis plane block after Caesarean section in an area with limited resources

Kahsay

Elsholz

Bahta

2017

Southern African Journal of Anaesthesia and Analgesia

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“…In recent years, many technological advances have also taken place in the field of analgesia (7) , with emphasis on the technique of patient-controlled analgesia (PCA), by means of an infusion pump that enables different types of programming analgesic. PCA technique is considered safe and allows the patient to effective participate in the administration of medicines, determining when they will receive them (8) .…”

mentioning

confidence: 99%

Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

Gouvêa¹,

Lima²

2014

Rev. esc. enferm. USP

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RESUmoPesquisa quantitativa que objetivou identificar o custo total médio (CTM) da instalação, manutenção e desligamento da bomba de analgesia controlada pelo paciente (PCA) no manejo da dor. A amostra não probabilística correspondeu à observação de 81 procedimentos em 17 Unidades do Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Calculou-se o CTM multiplicando-se o tempo despendido pelas enfermeiras pelo custo unitário da mão de obra direta, somando-se ao custo dos materiais e medicamentos/soluções. O CTM da instalação foi de R$ 107,91; da manutenção R$ 110,55 e do desligamento R$ 4,94. Os resultados obtidos subsidiarão discussões acerca da necessidade de repasse monetá-rio do Sistema Único de Saúde às unidades hospitalares que realizam essa técnica de terapia antálgica e contribuirão para o gerenciamento de custos visando à tomada de decisão eficiente e eficaz na alocação dos recursos disponíveis.

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“…37 • Glyceryl trinitrate: The organic nitrates such as glyceryl trinitrate(GTN) act as nitric oxide donors. 38 • Cholinergic drugs: Acetylcholine may cause analgesia through direct action on spinal cholinergic muscarinic receptors M1 & M3 and nicotinic receptor subtypes.…”

Section: Drugs In Postoperative Pain Management Systemic Analgesicsmentioning

confidence: 99%

Novel concepts of analgesia for post operative pain: Multimodal analgesia

Shaikh

Atlapure

2014

Int Jour of Biomed Res

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Buprenorphine in Postoperative Pain Management

Cited by 73 publications

References 47 publications

Transversus abdominis plane block after Caesarean section in an area with limited resources

Transversus abdominis plane block after Caesarean section in an area with limited resources

Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

Novel concepts of analgesia for post operative pain: Multimodal analgesia

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