The influence of preoperative epidural labor analgesia on postoperative pain in parturients undergoing emergency cesarean section A retrospective analysis
DC Field | Value | Language |
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dc.contributor.author | Park, H-Y | - |
dc.contributor.author | Park, Y-W | - |
dc.contributor.author | Hwang, J-W | - |
dc.contributor.author | Do, S-H | - |
dc.contributor.author | Na, H-S | - |
dc.date.available | 2020-05-25T03:35:52Z | - |
dc.date.created | 2020-05-25 | - |
dc.date.issued | 2020-05 | - |
dc.identifier.issn | 0003-2417 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/45686 | - |
dc.description.abstract | Background Intense noxious input from the periphery may result in central sensitization and hyperexcitability, thus accentuating subsequent postoperative pain. Parturients who undergo emergency cesarean section (C-sec) after experiencing labor pain often develop labor pain-induced sensitization. Objective This retrospective study evaluated whether parturients without epidural labor analgesia (ELA) who underwent emergency C-sec, experienced more severe postoperative pain and required more rescue analgesics during the postoperative period. Methods The institution's medical database was searched for parturients who underwent emergency C-sec under spinal anesthesia for any reason between January 2013 and December 2016. Those who underwent elective C-sec under spinal anesthesia were included as the reference arm. Parturients were divided into three groups: ELA, no-ELA and elective. Characteristics of patients and perioperative outcomes were evaluated. As primary outcomes, numerical rating scale (NRS) for postoperative pain (0-10) was recorded up to 96 & x202f;h postoperatively, and use of rescue analgesics was evaluated at 6, 24, and 48 & x202f;h postoperatively. Results In the ELA, no-ELA, and elective groups, 61, 73, and 88 parturients, respectively, were ultimately enrolled. The NRS for pain were similar among the three groups, except at 6 & x202f;h postoperatively. Parturients in the no-ELA group demonstrated significantly higher NRS at 6 & x202f;h postoperatively than those in the ELA group (P & x202f;= 0.01).More patients in the no-ELA group required rescue analgesics than in the ELA (P & x202f;= 0.001) and elective groups (P & x202f;< 0.001) at 6-24 & x202f;h postoperatively. Moreover, the proportion of patients requiring rescue analgesics >= 2 times was also significantly higher in the no-ELA group (vs. the ELA group, P & x202f;= 0.004; vs. the elective group, P & x202f;< 0.001). Conclusion Parturients undergoing emergency C-sec without ELA management during labor experienced greater postoperative pain and a greater use of rescue analgesics during the postoperative period. The findings suggest that administration of ELA before emergency C-sec may act as pre-emptive analgesia against postoperative pain. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER HEIDELBERG | - |
dc.relation.isPartOf | ANAESTHESIST | - |
dc.title | The influence of preoperative epidural labor analgesia on postoperative pain in parturients undergoing emergency cesarean section A retrospective analysis | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000531012800009 | - |
dc.identifier.doi | 10.1007/s00101-020-00753-2 | - |
dc.identifier.bibliographicCitation | ANAESTHESIST, v.69, no.5, pp.352 - 358 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85081219661 | - |
dc.citation.endPage | 358 | - |
dc.citation.startPage | 352 | - |
dc.citation.title | ANAESTHESIST | - |
dc.citation.volume | 69 | - |
dc.citation.number | 5 | - |
dc.contributor.affiliatedAuthor | Park, H-Y | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Cesarean section | - |
dc.subject.keywordAuthor | Epidural analgesia | - |
dc.subject.keywordAuthor | Spinal anesthesia | - |
dc.subject.keywordAuthor | Outcome | - |
dc.subject.keywordAuthor | Postoperative pain | - |
dc.subject.keywordPlus | NATIONAL US SURVEY | - |
dc.subject.keywordPlus | MOTHERS II REPORT | - |
dc.subject.keywordPlus | ANXIETY | - |
dc.subject.keywordPlus | PREDICTION | - |
dc.subject.keywordPlus | SATISFACTION | - |
dc.subject.keywordPlus | SEVERITY | - |
dc.subject.keywordPlus | DELIVERY | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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