Manejo del dolor agudo postoperatorio en operación cesárea

Abstract

Cesarean section has a high incidence in our country. Postoperative analgesia has always been done with a multimodal approach trying to achieve quality and diminishing secondary effects. The strategies that have been used to reduce post-surgical pain include intrathecal opioids and intravenous analgesia with non-steroidal anti-inflammatories drugs and acetaminophen, which finally reduces the requirements of rescue morphine. We carried out a review of the drugs mentioned before, and we discussed the use of local anesthetics used in continuous infusion, surgical wound infiltration as well as in abdominal wall nerve block. We emphasized in the use of intrathecal drugs such as opioids and intravenous drugs as supplementary, trying to define an appropriate management strategy for post-surgical pain after cesarean section. Finally, when patients receive an inadequate analgesia scheme after surgery, including cesarean section, they may develop chronic pain, establishing an important problem for the patient herself, as well as, for the surgical team.