E’ auspicabile:
- Aumentare la casistica a disposizione
- Approfondire lo studio avvalendosi di strumenti di monitoraggio emodinamico non invasivo [84]
- Ripetere lo studio dopo l’attuazione dei protocolli ERAS
- Ripetere lo studio includendo un confronto tra pazienti a basso rischio anestesiologico e pazienti con gravidanze patologiche
- Ripetere lo studio avvalendosi di altre molecole di farmaci vasoattivi (Fenilefrina, Noradrenalina)
- Approfondire lo studio delle tecniche di analgesia multimodale ed “opioid-sparing” ➔ comparare le metodiche in atto con blocchi della parete addominale (ESP, Tap-
Block e quadrato dei lombi)
➔ comparare l’efficacia delle metodiche di anestesia loco-regionale con l’utilizzo di adiuvanti
➔ comparare l’efficacia delle metodiche di anestesia neuroassiale con altre (es. la somministrazione endovenosa di solfato di magnesio, desametasone, ketamina o gabapentin per via orale)
- Mantenere il follow-up del decorso post-operatorio, al fine di consentire l'identificazione delle donne con ipersensibilizzazione e aumentato rischio di sviluppare dolore cronico e registrare l’eventuale insorgenza di depressione post-partum
- Mantenere il follow-up post natale dei neonati i cui esami cordonali hanno posto il sospetto di alterati scambi emogasanalitici perinatali.
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