Acute Pain Burden and Opioid Dose Requirements after Cesarean Delivery in Parturients with Preexisting Chronic Back Pain and Migraine
العنوان: | Acute Pain Burden and Opioid Dose Requirements after Cesarean Delivery in Parturients with Preexisting Chronic Back Pain and Migraine |
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المؤلفون: | Hani El-Omrani, Laurent Bollag, Taylor M Ziga, Davin Singh, Brendan Carvalho, William Harbour, Kenneth C Ruth, Shane Mandalia, E. Dinges, Joseph L Reno, Michael G. Nash, Ryu Komatsu |
المصدر: | Anesthesiology Research and Practice Anesthesiology Research and Practice, Vol 2021 (2021) |
بيانات النشر: | Hindawi, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Article Subject, business.industry, Chronic pain, Retrospective cohort study, Critical Care and Intensive Care Medicine, medicine.disease, behavioral disciplines and activities, Pathophysiology, Anesthesiology and Pain Medicine, Migraine, Opioid, Anesthesiology, Anesthesia, Morphine, Back pain, Medicine, RD78.3-87.3, Risk factor, medicine.symptom, business, medicine.drug, Research Article |
الوصف: | Introduction. Preexisting chronic pain has been reported to be a consistent risk factor for severe acute postoperative pain. However, each specific chronic pain condition has unique pathophysiology, and it is possible that the effect of each condition on postoperative pain is different. Methods. This is a retrospective cohort study of pregnant women with preexisting chronic pain conditions (i.e., migraine, chronic back pain, and the combination of migraine + chronic back pain), who underwent cesarean delivery. The effects of the three chronic pain conditions on time-weighted average (TWA) pain score (primary outcome) and opioid dose requirements in morphine milligram equivalents (MME) during postoperative 48 hours were compared. Results. The TWA pain score was similar in preexisting migraine and chronic back pain. Chronic back pain was associated with significantly greater opioid dose requirements than migraine (12.92 MME, 95% CI: 0.41 to 25.43, P = 0.041 ). Preoperative opioid use ( P < 0.001 ) was associated with a greater TWA pain score. Preoperative opioid use ( P < 0.001 ), smoking ( P = 0.004 ), and lower postoperative ibuprofen dose ( P = 0.002 ) were associated with greater opioid dose requirements. Conclusions. Findings suggest women with chronic back pain and migraine do not report different postpartum pain intensities; however, women with preexisting chronic back pain required 13 MME greater opioid dose than those with migraine during 48 hours after cesarean delivery. |
وصف الملف: | text/xhtml |
اللغة: | English |
تدمد: | 1687-6970 1687-6962 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::005d3bef5c2350640c65a1500c063e93 http://europepmc.org/articles/PMC8423562 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....005d3bef5c2350640c65a1500c063e93 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 16876970 16876962 |
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