Comparison of effectiveness of two techniques (ultrasound guided tummy wall block with levobupivicaine and dexmedetomidine and spinal block with morphine) for pain relief after cesarean delivery.

Efficacy and safety of levobupivacaine and dexmedetomedine in ultrasound guided transversus abdominis plane block compared to intrathecal morphine for post lower segment caesarean delivery pain relief when used as a part of multimodal analgesic regimen-A prospective randomized double blind study.

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2018/07/014712

Enrollment

Registered

2018-07-03

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- Pregnant women posted for elective lower segment caserean delivery under spinal anaesthesia

Interventions

Intervention1: Intrathecal Morphine Group: In this group, subarachanoid block will be given with 1.8ml of 0.5% Hyperbaric Bupivacaine+15mcg of Fentanyl and at the end of the surgery, bilateral transve

Eligibility

Inclusion criteria

Inclusion criteria: ASA physical status II subjects undergoing elective caesarean delivery under spinal anaesthesia with Body mass index of 18.5 â?? 34.9 kg/m 2

Exclusion criteria

Exclusion criteria: Patient refusal Patients with a history of cardiac, respiratory, renal or hepatic failure Coagulation disorders Local infection at the site of block Psychological disorders Allergy to study medications Chronic use of pain medications or adrenoreceptor agonists or antagonists History of tolerance to opiates BMI >35 kg/m2 Height Pre-eclampsia Contraindication to neuraxial anaesthesia

Design outcomes

Primary

Measure	Time frame
Pain- time taken for first request of analgesia,pain intensity,total tramadol consumed,patient satisfaction for analgesia.Timepoint: Pain intensity at 0mins,30mins,1hr and every 2nd hourly thereafter for 24hrs Tramadol consumption and patient satisfaction- once 24h after surgery	—

Secondary

Measure	Time frame
Side effects like nausea,vomiting,pruritis,sedation.Also pulse rate,blood pressure,respiratory rate will be assessed.Timepoint: 0mins,30mins.1hr and every 2nd hourly thereafter for 24hrs	—

Countries

India

Contacts

Public ContactDr Pawan R Nanjangud

Department of Anaesthesiology, Kasturba Medical College, Manipal

pawannanjangud@gmail.com8369770287

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026