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Management of Pain During Maternal Critical Illness

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Principles and Practice of Maternal Critical Care

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Abstract

There are numerous painful circumstances that require optimal management in the critically ill obstetric patient; indeed untreated pain may hamper a women’s ability to maintain adequate oxygenation and perfusion for the mother and the fetus. Therefore, management of pain in the context of acute critical medical conditions (e.g., acute pancreatitis), in the context of trauma (e.g., fractured ribs), or after abdominal surgery are even more crucial in the critically ill pregnant population. Optimizing pain management with regional or neuraxial medications is preferable over systemic medications in order to minimize in utero fetal exposure. Often, a combined analgesia regimen that includes regional and systemic medications provides the best result for pain management. A multidisciplinary team that includes anesthesiologists, intensivists, neonatologists, and obstetricians should collaborate to create a tailored pain management plan.

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Authors and Affiliations

  1. Department of Anesthesiology of Maisonneuve-Rosemont Hospital, CIUSSS de l’Est de l’Ile de Montréal, University of Montréal, Montréal, QC, Canada

    Valerie Zaphiratos & Philippe Richebé

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  1. Valerie Zaphiratos
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  2. Philippe Richebé
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Correspondence to Valerie Zaphiratos .

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  1. Intensive Care Unit, Shaare Zedek Medical Center and Hebrew University Faculty of Medicine, Jerusalem, Israel

    Sharon Einav

  2. Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel

    Carolyn F. Weiniger

  3. Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA

    Ruth Landau

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Zaphiratos, V., Richebé, P. (2020). Management of Pain During Maternal Critical Illness. In: Einav, S., Weiniger, C.F., Landau, R. (eds) Principles and Practice of Maternal Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-43477-9_39

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