Lowest dose of spinal ropivacaine and adjuvant should be used in cesarean delivery

Spinal ropivacaine or bupivacaine for cesarean delivery: a prospective, randomized, double-blind comparison

“…7,8,16,17 In the present study, we had complete pain relief during the first 24 hours after surgery with smalldose intrathecal morphine, which has been demonstrated to result in effective analgesia for 18 to 36 hours after cesarean delivery. 7 Nonetheless, patients receiving ropivacaine showed a larger consumption of morphine as compared with those receiving bupivacaine, and this was likely related to the shorter duration of spinal block.…”

Analgesic requirements and postoperative recovery after scheduled compared to unplanned cesarean delivery: a retrospective chart review

“…[7][8][9] Few studies record analgesia and side effects beyond 48-72 h. One study followed patients for longer than 72 h post-cesarean but this study was limited to a specific medication profile rather than the generalized postoperative pain experienced and analgesic consumption. 10 The aim of this retrospective chart review was to document pain and analgesic consumption for up to five days post-cesarean to observe analgesic requirement during the hospital stay.…”