2020
DOI: 10.1097/01.aog.0000662880.08512.6b
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Use of Multi-modal Analgesia in Enhanced Recovery After Surgery (ERAS) for Cesarean Sections to Reduce the Use of Opioids [OP02-1B]

Abstract: INTRODUCTION: Enhanced recovery after surgery (ERAS) protocols are mechanisms for obtaining value-based improvements in surgery and they have become embedded within multiple surgical disciplines including colorectal, urological, gynecological, and hepatobiliary surgery. ERAS has been shown to result in both clinical and health system benefits1. The objective of this study is to evaluate the effect of such a program on opioid use in cesarean sections (CS) at a community teaching hospital. … Show more

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Cited by 2 publications
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“…While use of long-acting, lipophilic intrathecal or epidural opioids (as a part of multimodal analgesia) is foundational in most developed countries, in some areas such medications are either not available, or face restrictions on their use [5][6][7][8] . In Serbia, no long-acting opioids for neuraxial administration are available, with shorter acting medications such as fentanyl being the sole option.…”
Section: Introductionmentioning
confidence: 99%
“…While use of long-acting, lipophilic intrathecal or epidural opioids (as a part of multimodal analgesia) is foundational in most developed countries, in some areas such medications are either not available, or face restrictions on their use [5][6][7][8] . In Serbia, no long-acting opioids for neuraxial administration are available, with shorter acting medications such as fentanyl being the sole option.…”
Section: Introductionmentioning
confidence: 99%
“…6 Many factors have influenced post-Cesarean delivery opioid prescribing in Canada, including numerous quality improvements promoting nonopioid alternatives and minimizing unnecessary opioid use after Cesarean delivery. 7 – 12 There have also been key incidents, such as a 2006 case report and subsequent 2008 Health Canada recommendation for safety of codeine during breastfeeding, which was followed by a drop in codeine prescribing and a rise in the use of other opioids post partum in BC. 13 , 14 There have been more recent specific recommendations in North America against certain opioids such as the 2018/2019 US Food and Drug Administration and American Society of Anesthesiologists’ recommendations against tramadol for breastfeeding patients, the ramifications of which have yet to be studied.…”
mentioning
confidence: 99%
“… 18 Moreover, multiple studies have shown that opioids prescribed in this manner often exceed patients’ needs. 12 , 19 , 20 …”
mentioning
confidence: 99%