acute pain after cesarean section. Acute pain
Conditions
Interventions
Intervention 1: Intervention group 1: Posterior TAP block (quaderotus lumbrum) in the triangular space of petit (iliac crest and the inferior margin of the posterior border of the latissimus dorsi mus
Rehabilitation
Intervention group 1: Posterior TAP block (quaderotus lumbrum) in the triangular space of petit (iliac crest and the inferior margin of the posterior border of the latissimus dorsi muscle and anterior
Intervention group 2: lateral tap block was performed through the local injection of 15 cc anesthetic bupivacaine 0.25% using 23 gauge spinal needle (dr japan) at the junction of midaxillary line and
Sponsors
Vice Chancellor for research of Iran University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: 18-50 year old females who are candidate for spinal anesthesia for elective and emergency cesarean section due to fetal distress; patients with ASA 1 & 2. Exclusion criteria: patients with ASA>3 & 4; contraindication for the use of spinal anesthesia; Emergent conditions due to organic problems such as eclampsia, preeclampsia, placenta previa and ...; history of allergy to bupivacaine; receiving an analgesic; BMI> 40; pre-pregnancy weight less than 50 kg; patients with an underlying disease or history of renal or liver disease or coagulopathy; prediction of spinal anesthesia unsuccessfulness (including inadequate anesthetic level); patients who have received sedation drugs fentanyl 100 macrograms and midazolam 2 miligrams during the procedure.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Satisfaction of Analgesia. Timepoint: Immediately after the caesarean section and at 2, 4, 6, 12, 24 and 36 hours after intervention. Method of measurement: Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of first opioid analgesic injection. Timepoint: The first time analgeic request by the patient. Method of measurement: Questionnaire.;Pain relief score at rest. Timepoint: 2, 4, 6, 12, 24, 36 hours after intervention. Method of measurement: Pain Score Questionnaire (zero to ten).;Patient satisfaction score. Timepoint: 36 hours after intervention. Method of measurement: Questionnaire.;Nausea and vomiting complaint. Timepoint: 2, 4, 6, 12, 24, 36 hours after intervention. Method of measurement: Questionnaire.;Amount of opioid consumption (mg). Timepoint: 36 hours after intervention. Method of measurement: Questionnaire.;Pain relief score when coughing. Timepoint: 2, 4, 6, 12, 24, 36 hours after intervention. Method of measurement: Pain Score Questionnaire (zero to ten). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactPoupak Rahimzadeh(MD)
Rasoul Akram Hospital
Outcome results
None listed