Publicação
Anesthesia and postoperative analgesia for cesarean section: a retrospective observational study
| datacite.subject.fos | Ciências Médicas::Medicina Clínica | |
| datacite.subject.fos | Ciências Naturais::Matemáticas | |
| dc.contributor.author | Pombo, André | |
| dc.contributor.author | Guimarães, Henrique | |
| dc.contributor.author | Araújo, Ana M. | |
| dc.contributor.author | Nunes, Catarina S. | |
| dc.contributor.author | Cabido, Hermínia | |
| dc.contributor.author | Lemos, Paulo | |
| dc.date.accessioned | 2026-01-13T17:59:37Z | |
| dc.date.available | 2026-01-13T17:59:37Z | |
| dc.date.issued | 2025-01 | |
| dc.description.abstract | Objectives: The current state of the art for c‑section anesthesia includes the use of regional anesthesia techniques because of their effectiveness, safety, and extended postoperative analgesia. This study aimed to analyze the anesthetic techniques employed for c‑section and postoperative analgesic regimens and to identify predictive factors for postoperative pain, postoperative complications, and hospitalization time. Study Design: A retrospective, observational study was conducted on pregnant women who underwent c‑section between January and December 2021. Demographic data, medical comorbidities, indications for c‑section, anesthetic techniques, and postoperative outcomes (pain, complications, and hospitalization time) were registered. Linear and logistic regression were applied for data analysis. Results: Data from 925 women who underwent c‑sections were analyzed. Combined spinal–epidural anesthesia was the most used technique for elective c‑sections (423 out of 430 women), while general anesthesia was commonly used in emergent procedures (29 out of 39 women). Epidural analgesia was the most commonly used technique for postoperative pain management (83%), and pruritus (8.9%) and headaches (4.1%) were the most frequently registered complications. Risk factors for moderate/severe pain included lower body mass index, conversion to general anesthesia, and the use of systemic analgesia. Preeclampsia and intrathecal morphine increased postoperative complications. General anesthesia and some postoperative complications were predictors for longer hospitalization times. Conclusions: This study suggests that a multimodal analgesic approach with neuraxial morphine and/or local anesthetics, nonsteroidal anti‑inflammatory drugs, and acetaminophen is central to achieve an effective postoperative analgesia after a c‑section. However, further studies should investigate the optimal neuraxial analgesic combination to minimize side effects. | eng |
| dc.identifier.citation | Pombo, A.; H. Guimarães; A. M. Araújo; C. S. Nunes; H. Cabido and P. Lemos (2025) “Anesthesia and Postoperative Analgesia for Cesarean Section: A Retrospective Observational Study”. Journal of Obstetric Anaesthesia and Critical Care 15(1):53-58 | |
| dc.identifier.doi | 10.4103/joacc.joacc_25_24 | |
| dc.identifier.issn | 2249-4472 | |
| dc.identifier.issn | 2249-9539 | |
| dc.identifier.uri | http://hdl.handle.net/10400.2/20800 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Ovid Technologies (Wolters Kluwer Health) | |
| dc.relation.hasversion | https://journals.lww.com/joac/fulltext/2025/01000/anesthesia_and_postoperative_analgesia_for.9.aspx | |
| dc.relation.ispartof | Journal of Obstetric Anaesthesia and Critical Care | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | |
| dc.subject | Cesarean section | |
| dc.subject | Epidural analgesia | |
| dc.subject | Obstetric anesthesia | |
| dc.subject | Postoperative analgesia | |
| dc.title | Anesthesia and postoperative analgesia for cesarean section: a retrospective observational study | eng |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 58 | |
| oaire.citation.issue | 1 | |
| oaire.citation.startPage | 53 | |
| oaire.citation.title | Journal of Obstetric Anaesthesia and Critical Care | |
| oaire.citation.volume | 15 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |
| person.familyName | Nunes | |
| person.givenName | Catarina S. | |
| person.identifier.ciencia-id | 691F-CDC2-E26A | |
| person.identifier.orcid | 0000-0002-8357-0994 | |
| relation.isAuthorOfPublication | cc3069ec-f930-455f-9226-b77e5d2dc14b | |
| relation.isAuthorOfPublication.latestForDiscovery | cc3069ec-f930-455f-9226-b77e5d2dc14b |