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Systemic adjunct analgesics for cesarean delivery: a narrative review

J Hamburger1, Y Beilin2

  • 1Department of Anesthesiology, Pain and Perioperative Medicine, Icahn School of Medicine at Mount Sinai, USA.

International Journal of Obstetric Anesthesia
|July 28, 2019
PubMed

It is critical to adequately treat postoperative cesarean delivery pain. The use of parenteral or neuraxial opioids has been a mainstay, but opioids have side effects that can be troubling and the opioid crisis in the United States has highlighted the necessity to utilize analgesics other than opioids. Other analgesic options include neuraxial analgesics, nerve blocks such as the transversus abdominis plane block, and non-opioid parenteral and oral medications. The goal of this article is to review non-opioid systemic analgesic adjuncts following cesarean delivery, focusing on their efficacy and side effects as well as their impact on reduction of opioid requirements after surgery.

Keywords:
AnalgesiaAnalgesic adjuvantsCesarean deliveryOpioidsPostoperative pain

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