Life after Addiction—Post-Operative Pain Management in an Obstetrical Patient on Long-Term Buprenorphine Therapy

• 作者: Jonathan D Baum Kelly R Bowen
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: BUPRENORPHINE METHADONE ADDICTION PREGNANCY OPIATE Use in PREGNANCY
• 年，卷（期）: fckqkyw_2017,（9）
• 页码范围: 951-956
• 页数: 6页
• 分类号: R73

摘要

A G6P2032 female, prior cesarean x3 with history of opioid addiction maintained on buprenorphine presented for scheduled repeat cesarean section. Pre-operatively, her maintenance dose of medication was held secondary to concerns for partial agonist effect. Post-operative pain control was suboptimal with the patient ultimately proceeding to withdrawal. Doses of hydromorphone were titrated to 10 mg every 3 hours to avoid further withdrawal. Review of expert opinion after discharge recommended against holding buprenorphine therapy in the post-operative period. Pain management options include maintenance therapy with additional doses of opioid and non-opioid pain relieving medications.