[Cesarean section: current management of postoperative acute pain. Continuous and intermittent epidural analgesia with and without elastomeric infusion device].
OBJECTIVE
To compare the analgesia quality obtained in the management of the acute pain in 50 puerperae post-cesarean section using one of the two therapeutic modalities. The results were evaluated using descriptive and inferential statistics.


METHODS
Controlled, systematized a clinical trial, carried out from January to June of 2001. REGIMES AND RESULTS: A) Continuous epidural analgesia. With fentanyl citrate plus bupivacaine using a low flow elastomerics infuser (Single day Baxter infuser) 85% referred mild pain in rest or activity; 3% or less in analogic scale visual (VAS) in the first 24 hours of postoperative. B) Intermittent epidural analgesia. With bupivacaine plus intravenous Ketorolaco; 59% of the cases referred mild pain, 32% moderate pain and 9% severe.


CONCLUSIONS
Management of acute pain postcesarean section should be priority with continuous epidural analgesia using the infuser and concentrations of drugs referred in order to minimize the incidence and magnitude of acute postoperative pain.
Olivas Mendoza
Gustavo
G
Mata Orozco
Víctor Manuel
VM
Cuéllar Estrada
Julio
J
Esparza Carbajal
Luis A
LA
Aldana Bustamante
Amadeo
A
D000208:Acute Disease; D015360:Analgesia, Epidural / Q000295:instrumentation / Q000379:methods; D002585:Cesarean Section / Q000009:adverse effects*; D004867:Equipment Design; D005260:Female; D006801:Humans; D010149:Postoperative Pain / Q000188:drug therapy*; D011247:Pregnancy