Health Condition 1: null- Pregnant females (normal singleton pregnancy with gestation of 37 weeks or more) scheduled to undergo elective cesarean section with American Society of Anesthesiologists physical status I-II.
Conditions
Interventions
Intervention1: Ultrasound guided Quadratus Lumborum Block: Under ultrasound guidance, local anaesthetic will be injected into the plane between quadratus lumborum muscle and psoas major muscle.
The pa
Sponsors
Government Medical College and Hospital Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: 1 Pregnant females (normal singleton pregnancy with gestation of 37 weeks or more) scheduled to undergo elective cesarean section. 2 American Society of Anesthesiologists physical status I-II 3 Age 20-40 years.
Exclusion criteria
Exclusion criteria: 1 History of relevant drug allergy 2 History of psychiatric illness, substance abuse 3 Severe cardiovascular, respiratory, liver diseases metabolic or neurological disease 4 Chronic treatment with analgesics 5 Coagulopathy 6 Infection at planned injection site 7 Psychological inability of the patient to understand visual analogue scale 8 History of intake of drugs such as imipramine, theophylline, fluvoxamine and antiarrhythmic agents 9 Patientâ??s refusal for the procedure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To calculate and compare the post operative opioid consumption over 24 hours in parturients undergoing elective caesarean section receiving quadratus lumborum block or transversus abdominis plane block.Timepoint: Patients would be continuously monitored for haemodynamic variables and recordings noted at 30 minutes, 1 hour, 4 hours, 8 hours, 12 hours and 24 hours. Simultaneously pain will also be assessed at rest and movement using VAS score and nausea and vomiting using categorical scoring system. The outcome will be assessed at the end of 24 hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the reduction in pain intensity up to 24 hours by the use of visual analogue scale, the time to first analgesic requirement, to measure haemodynamic variables over 24 hrs, to calculate and compare the total dose of anti-emetics, to note any side effects pertaining to the procedure/drugs used. Timepoint: Patients would be continuously monitored for haemodynamic variables and recordings noted at 30 minutes, 1 hour, 4 hours, 8 hours, 12 hours and 24 hours. Simultaneously pain will also be assessed at rest and movement using VAS score and nausea and vomiting using categorical scoring system. The outcome will be assessed at the end of 24 hours. | — |
Countries
India
Contacts
Public ContactDr RIcha Saroa
Government Medical College and Hospital, Chandigarh
Outcome results
None listed