• Int J Obstet Anesth · Aug 2019

    Review

    Monitoring, prevention and treatment of side effects of long-acting neuraxial opioids for post-cesarean analgesia.

    • M Yurashevich and A S Habib.
    • Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA.
    • Int J Obstet Anesth. 2019 Aug 1; 39: 117-128.

    AbstractLong-acting neuraxial opioids such as morphine and diamorphine, administered via spinal or epidural routes, are staple components of a multimodal approach to postoperative analgesia following cesarean delivery. The widespread use of neuraxial opioids is due largely to their significant analgesic efficacy and favorable safety profile. The most common side effects of neuraxial opioids are pruritus, nausea and vomiting. These symptoms appear to be dose-related. The most serious complication of neuraxial opioids is respiratory depression, which occurs in 0-0.9% of cases. Hypothermia has also been reported in association with neuraxial morphine use at cesarean delivery. This article will review recent advances in prophylaxis, treatment and monitoring of the side effects of long-acting neuraxial opioids.Copyright © 2019 Elsevier Ltd. All rights reserved.

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