We read with interest Pan’s editorial on post caesarean delivery pain management.
[1]
We agree with the conclusion that multimodal postoperative pain management offers
the best quality of analgesia with high patient satisfaction and few side effects
to mother or baby. The efficacy of multimodal analgesia has been compared with single
drug therapy and been found to provide effective analgesia while reducing drug-related
side effects.
2
,
3
,
4
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References
- Post Caesarean delivery pain management: multimodal approach.Int J Obstet Anesth. 2006; 15: 185-188
- Peri-operative multimodal pain therapy for Caesarean section: analgesia and fitness for discharge.Can J Anaesth. 1997; 44: 803-809
- Intrathecal diamorphine for analgesia after Caesarean section; A dose finding study and assessment of side-effects.Anaesthesia. 1998; 53: 231-237
- Small doses of intrathecal morphine combined with systemic diclofenac for postoperative pain control after Cesarean delivery.Anesth Analg. 1998; 86: 538-541
Article info
Publication history
Published online: February 02, 2007
A. Faboya, Specialist Registrar, Department Anaesthesia, St George’s Hospital, Blackshaw Road, London UK, D. Uncles, Consultant Anaesthetist, Department of Anaesthesia, Worthing and Southland Hospitals, Worthing, West Sussex. UKIdentification
Copyright
© 2006 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
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- Post cesarean delivery pain management: multimodal approachInternational Journal of Obstetric AnesthesiaVol. 15Issue 3
- PreviewIndividual variability of postoperative pain is influenced by multiple factors, including sensitivity to pain, psychological factors, age and genetics.1–3 Despite advances in postoperative pain management, postoperative pain relief and satisfaction are still inadequate in some patients because of individual variability and limitation from side effects of analgesic drugs or techniques.4 Results from a recent US national survey suggest that a patient has a 50 to 71% chance of experiencing moderate to severe pain after surgery.
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