1. Post Caesarean Analgesia – An Update
Kim Ekelund
MD, PhD, associate professor
Rigshospitalet Copenhagen, Denmark
Thank you, Johanna/Vegard, for the introduction.
First of all, I would like to thank the organisers behind the 34th SSAI congress for the invitation.
As said my name is Kim Ekelund.
On a daily basis I work at Dept. Anaesthesia, Juliane Marie Centre, Rigshospitalet, Copenhagen - where we anaesthetize women and children.
I am also member of the faculty in the SSAI course in advanced obstetric anaesthesia

2. Post caesarean analgesia – Take Home Message
Take Home Messages
Intrathecal opioids IT morphine µg, Epi-morphine 1,5mg Duration 16-24hr. Pruritus 40-90%. PONV & urinary retention 30-50%
Multimodal therapy Tbl NSAID + Tbl PCM and Tbl Opioid (Oxycodone?)
Plan B? QL block? See ClinicalTrial.gov
Re-evaluate Pain at movement? Early Recovery After Surgery?
To conclude, I present my take home messages:
There is no magic bullet, but in the literature intrathecal morphine is considered to be the gold standar
But there are valid alternatives,
as long as you consider multimodal therapy.
It the patient cannot be treated as the majority or experience severe pain despite standard treatment, you need to have a plan B B maybe short for Block. Personally I am looking forward to follow the adventures of the QL block
Remember to (re-)evaluate your regime.
Thank you