Professional paper

https://doi.org/10.26800/LV-142-1-2-5

Anesthesia and analgesia for FAUCS technique of cesarean section – case report

Ivan Ivanovski ; Zavod za anesteziologiju, intenzivnu medicinu i liječenje boli, Klinički bolnički centar Sestre milosrdnice, Zagreb
Katarina Kličan - Jajić ; Zavod za anesteziologiju, intenzivnu medicinu i liječenje boli, Klinički bolnički centar Sestre milosrdnice, Zagreb
Maja Pešić ; Zavod za anesteziologiju, intenzivnu medicinu i liječenje boli, Klinički bolnički centar Sestre milosrdnice, Zagreb
Željko Ivanec ; Zavod za anesteziologiju, intenzivnu medicinu i liječenje boli, Klinički bolnički centar Sestre milosrdnice, Zagreb
Marinko Vučić ; Zavod za anesteziologiju, intenzivnu medicinu i liječenje boli, Klinički bolnički centar Sestre milosrdnice, Zagreb
Krunoslav Kuna ; Klinika za ženske bolesti i porodništvo, Klinički bolnički centar Sestre milosrdnice, Zagreb

Abstract

Cesarean section is correlated with a higher number of complications and higher postoperative pain which prolongs recovery in comparison with vaginal delivery for three to five days. With a relatively new and
advanced surgical technique French Ambulatory Cesarean section (FAUCS) there are fewer postoperative complications and lower pain scores. In our Clinical Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, we started with this surgical technique at the beginning of 2019 for the first time in Croatia. The choice of anesthesia for this procedure is spinal anesthesia because the cooperation of the patient is essential for successful extraction of the neonate. As this procedure is less painful it is possible to reduce the
dosage of spinal local anesthetic in comparison with the usual dose for classical cesarean section. Lower local anesthetic dose enables faster recovery of motor function, and allows faster mobilization of the parturients. We combined spinal anesthesia with Trans-Abdominal Plain (TAP) block at the end of the procedure. TAP block led to the complete elimination of postoperative pain during the first 24 postoperative hours. The necessity for pain medication therapy after day one was reduced to minimal doses, and opiate analgesics were not used. This combination
of less painful cesarean section and regional anesthesia enabled faster patient recovery with many benefits for the woman and the newborn. In this case report we present one of our first cases.

Keywords

CESAREAN SECTION – methods; ANESTHESIA, SPINAL; ANALGESIA, OBSTETRICAL – methods; NERVE BLOCK – methods; ABDOMINAL MUSCLES; PAIN, POSTOPERATIVE – drug therapy, prevention and control

Hrčak ID:

236606

URI

https://hrcak.srce.hr/236606

Publication date:

31.3.2020.

Article data in other languages: croatian

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