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Efficacy of Single Wound Infiltration With Bupivacaine and Adrenaline During Cesarean Delivery for Reduction of Postoperative Pain

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Key Points Question What is the efficacy of single wound infiltration with bupivacaine combined with adrenaline during cesarean delivery for the reduction of postoperative pain scores and opioid use? Findings… Click to show full abstract

Key Points Question What is the efficacy of single wound infiltration with bupivacaine combined with adrenaline during cesarean delivery for the reduction of postoperative pain scores and opioid use? Findings In this randomized clinical trial that included 288 women who underwent cesarean delivery at term, single wound infiltration with bupivacaine and adrenaline significantly reduced postoperative pain and postpartum use of rescue opioid analgesics. There were no intervention-related adverse effects. Meaning These findings suggest intraoperative infiltration of the wound with single administration of bupivacaine and adrenaline in women undergoing a cesarean delivery is efficacious, safe, and easy to perform.

Keywords: infiltration; single wound; cesarean delivery; bupivacaine; wound infiltration

Journal Title: JAMA Network Open
Year Published: 2022

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