Health Condition 1: null- 18 -35 years old primi gravida, at term pregnancy, ASA 1 or 2, posted for elective caesarean section under Spinal anaesthesia
Conditions
Interventions
Intervention1: Continuous bupivacaine wound infiltration in the preperitoneal plane: Postoperatively at the incision site, wound infiltration catheter placed in the preperitoneal plane, i.e.,above the
Sponsors
JIPMER
Eligibility
Inclusion criteria
Inclusion criteria: Primi gravida of 36 to 42 completed weeks of gestation, scheduled for elective caesarean section by Pfannenstiel incision ASA I and II
Exclusion criteria
Exclusion criteria: Spinal anaesthesia related problems such as failure to achieve adequate spinal level, perception of pain intraoperatively requiring opioid supplementation. Intraoperative surgical difficulties such as difficulty in closing peritoneum, excessive bleeding, uterine atony or operative injuries and placement of drain at wound site Any case of stillbirth or newborns requiring ICU care. History of allergy to local anaesthetics or NSAIDs. Any ongoing infection or sepsis Midline vertical skin incision Patient refusing spinal anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cumulative morphine consumptionTimepoint: 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Time interval till first PCA useTimepoint: within 48 hrs;Culture report of catheter flush sampleTimepoint: 48 hours;Duration of hospital stayTimepoint: Till discharge from hospital;Local wound discharge, bleeding â?? by inspection of woundTimepoint: 1 hr,2 hrs,3 hrs,4hrs, 5 hrs,6hrs, 12hrs,24 hrs,36 hrs,48 hrs;Pain at rest and at movement by VRSP scoreTimepoint: 1 hr,2 hrs,3 hrs,4hrs, 5 hrs,6hrs, 12hrs,24 hrs,36 hrs,48 hrs;Patient satisfactionTimepoint: 48 hours;Post operative nausea and vomiting, pruritus, sedationTimepoint: 1 hr,2 hrs,3 hrs,4hrs, 5 hrs,6hrs, 12hrs,24 hrs,36 hrs,48 hrs;Time interval before return of bowel movements, assessed from history regarding passage of first flatusTimepoint: within 48 hrs | — |
Countries
India
Contacts
Public ContactDr Diana Thomas
Jawaharlal institute of postgraduate medical education and research
Outcome results
None listed