Peripheral Nerve Blocks for Cesarean Delivery Analgesia: A Narrative Review
Issued Date
2023-11-04
Resource Type
eISSN
16489144
Scopus ID
2-s2.0-85177788284
Pubmed ID
38004000
Journal Title
Medicina (Kaunas, Lithuania)
Volume
59
Issue
11
Rights Holder(s)
SCOPUS
Bibliographic Citation
Medicina (Kaunas, Lithuania) Vol.59 No.11 (2023)
Suggested Citation
Sangkum L., Tangjitbampenbun A., Chalacheewa T., Brennan K., Liu H. Peripheral Nerve Blocks for Cesarean Delivery Analgesia: A Narrative Review. Medicina (Kaunas, Lithuania) Vol.59 No.11 (2023). doi:10.3390/medicina59111951 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/91307
Title
Peripheral Nerve Blocks for Cesarean Delivery Analgesia: A Narrative Review
Other Contributor(s)
Abstract
Effective postoperative analgesia using multimodal approach improves maternal and neonatal outcomes after cesarean delivery. The use of neuraxial approach (local anesthetic and opioids) and intravenous adjunctive drugs, such as nonsteroidal anti-inflammatory drugs and acetaminophen, currently represents the standard regimen for post-cesarean delivery analgesia. Peripheral nerve blocks may be considered in patients who are unable to receive neuraxial techniques; these blocks may also be used as a rescue technique in selected patients. This review discusses the relevant anatomy, current evidence, and advantages and disadvantages of the various peripheral nerve block techniques. Further research is warranted to compare the analgesic efficacy of these techniques, especially newer blocks (e.g., quadratus lumborum blocks and erector spinae plane blocks). Moreover, future studies should determine the safety profile of these blocks (e.g., fascial plane blocks) in the obstetric population because of its increased susceptibility to local anesthetic toxicity.