Post operative pain following Total Abdominal Hysterectomy. MedDRA version: 8.1 Level: LLT Classification code 10054711 Term: Postoperative pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult Females aged >18 years old Presenting for elective Total Abdominal Hysterectomy Written Informed Consent ASA Grade 1 to 3 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Patient refusal Outside Age Range Allergy to bupivacaine, morphine, paracetamol, diclofenac sodium Skin lesions/infection at site of injection Renal or other organ dysfunction Sepsis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: We have recently described the Transversus Abdominis Plane (TAP) Block, a reliable approach to the blockade of the neural afferents to the anterior abdominal wall . These neural afferents course through the neurofascial plane between the internal oblique and the transversus abdominus muscles . Based on anatomic studies, our group has identified the lumbar triangle of Petit as a potential access point to this neurofascial plane. In this study, we aim to determine the analgesic efficacy of TAP blockade in the first 48 postoperative hours, in patients undergoing TAH, in a randomized controlled double blind clinical trial.;Secondary Objective: Sedation Postoperative Nausea and Vomiting Patient Satisfaction Systemic absorption of Ropivacaine Effect on the stress response to surgery ;Primary end point(s): Primary Measures:Severity of Postoperative Pain [VAS and Categorical pain Scales] Total opiate usage in the first 48 hours after surgery Secondary Measures:Sedation Postoperative Nausea and Vomiting Patient Satisfaction Tertiary Measures:Systemic absorption of Ropivacaine Effect on the stress response to surgery | — |
Countries
Ireland