Monitoring, prevention and treatment of side effects of long-acting neuraxial opioids for post-cesarean analgesia.

Journal Article (Journal Article;Review)

Long-acting neuraxial opioids such as morphine and diamorphine, administered via spinal or epidural routes, are staple components of a multimodal approach to postoperative analgesia following cesarean delivery. The widespread use of neuraxial opioids is due largely to their significant analgesic efficacy and favorable safety profile. The most common side effects of neuraxial opioids are pruritus, nausea and vomiting. These symptoms appear to be dose-related. The most serious complication of neuraxial opioids is respiratory depression, which occurs in 0-0.9% of cases. Hypothermia has also been reported in association with neuraxial morphine use at cesarean delivery. This article will review recent advances in prophylaxis, treatment and monitoring of the side effects of long-acting neuraxial opioids.

Full Text

Duke Authors

Cited Authors

  • Yurashevich, M; Habib, AS

Published Date

  • August 2019

Published In

Volume / Issue

  • 39 /

Start / End Page

  • 117 - 128

PubMed ID

  • 31202588

Electronic International Standard Serial Number (EISSN)

  • 1532-3374

Digital Object Identifier (DOI)

  • 10.1016/j.ijoa.2019.03.010


  • eng

Conference Location

  • Netherlands