Pearls from LSA meeting 2012..Post CS pain

Cesarean Section is about 20% of all deliveries.

Severe pain for 48 hrs.

Two components; Visceral and Somatic

Possible chronicization of pain (10-15%)

Multimodol analgesia :neuroaxial morphine,paracetamol,NSAIDs,Tramal

TAP Block is effective..But maybe intrathecal morphine is superior(Kanazi et al)..
TAP is probably interesting in CS under General anesthesia.

More abstracts: www.lsanesthesia.org

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power injectable peripherally inserted central catheters

Clinical experience with power injectable peripherally inserted central catheters in intensive care patients Introduction In intensive care units (ICU), peripherally inserted central catheters (PICC) may be an alternative option to standard central venous catheters, particularly in patients with coagulation disorders or at high risk for infection. Some limits of PICCs (such as low flow rates) may be overcome by the use of power-injectable catheters . Method We have retrospectively reviewed all the power injectable PICCs inserted in adult and pediatric patients in the ICU during a 12-month period, focusing on the rate of complications at insertion and during maintenance. Results We have collected 89 power injectable PICCs (in adults and in children), both multiple and single lumen. All insertions were successful. There were no major complications at insertion and no episodes of catheter-related blood stream infection. Non-infective complications ...

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