Journal of Anesthesiology and Clinical Research
Vol. 4 No. 1 (2023): Journal of Anesthesiology and Clinical Research

Post-C-Section Pain Management with the Enhanced Recovery after Surgery and Multimodal Analgesia Methods: A Case Series

Poppy Novita Rini (Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia/Dr. Agoesdjam General Hospital, Ketapang, Indonesia)
Charles Wijaya Tan (Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia)



Article Info

Publish Date
28 Nov 2022

Abstract

Introduction: This study aims to present the management of postoperative c-section pain using multimodal analgesia. Case presentation: There were two patients who received multimodal analgesia as a treatment for postoperative C-section pain. The first patient, a woman 15 years old, will undergo a Caesarean section operation with indications G1P0A0, term pregnancy, and cephalopelvic disproportion (CPD). The second patient, a 23-year-old woman, will undergo a Caesarean section operation with indications G1P0A0, term pregnancy, and 1x umbilical cord. Physical examination of both patients showed vital signs within normal limits. Laboratory evaluation within normal limits. Both patients were included in the ASA II category. The anesthetic method used intraoperatively was subarachnoid block with hyperbaric bupivacaine 0.5% 10 mg and morphine 50 mcg. Lidocaine infiltration injection is performed intraoperatively in combination with the following; lidocaine 2% (3 ampoules), dexamethasone 4 mg, ketorolac 60 mg, and morphine 4000 mcg dissolved in aquabides into 20 ml subcutaneously. Conclusion: A multimodal analgesia is an appropriate approach for postoperative pain management in patients undergoing cesarean section.

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Journal Info

Abbrev

JACR

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Description

Journal of Anesthesiology and Clinical Research/JACR that focuses on anesthesiology; pain management; intensive care; emergency medicine; disaster management; pharmacology; physiology; clinical practice research; and palliative ...