Postoperative Pain after Cesarean Section, The effect of ropivacaine and dexmedetomidine drugs.
Conditions
Interventions
Intervention 1: The first intervention group, In this group, at the end of the operation, before closing the wound, dexmedetomidine with a dose of 1 microgram/kg is injected into the patient in the fo
Sponsors
Esfahan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
15 Years to 55 Years
Inclusion criteria
Inclusion criteria: Patients who are candidates for cesarean surgery (for the first time) Performing cesarean surgery under spinal anesthesia ASA I&II (American society of anesthesiologists)
Exclusion criteria
Exclusion criteria: Patients with a History of Drug Allergy (Dexmedetomidine And Ropivacaine) Patients with a History of Tobacco and Opioid Addiction Patients with Psychological Problems Obese Patients Weighing More Than 100 kg Patients with Inability to Express Pain Score Suffering from Intracranial Hypertension Twin Pregnancy and Above Previous Abdominal and Pelvic Surgeries Uncontrollable Underlying Disease (ASA3 and higher)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain after cesarean section based on Visual Analogue Scale. Timepoint: Pain at baseline (before spinal anesthesia) and then every 15 minutes during recovery and after that at 2, 4, 6, 12, 24 hours after surgery in the ward. Method of measurement: Visual Analogue Scale, It is evaluated based on a score from 0 (no pain) to 10 (severe pain). | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of additional analgesic. Timepoint: If the patient's VAS is more than 4 cm, diclofenac sodium suppository 100 mg is used to relieve pain. Method of measurement: The number of diclofenac sodium suppositories 100 mg.;The first time to receive analgesics. Timepoint: If the patient's VAS is more than 4 cm, diclofenac sodium suppository 100 mg is used to relieve pain. Method of measurement: Number of minutes after surgery.;• The incidence of side effects include: nausea and vomiting, chills, hallucinations, hypotension (<30% of baseline), bradycardia (<60), hypertension and tachycardia (increase of more than 30% compared to baseline), Respiratory depression (< 10 times per minute). Timepoint: After recovery until discharge. Method of measurement: has/doesn't have.;Patient satisfaction based on VAS. Timepoint: in hours 2, 4, 6, 12, 24 after entering the ward. Method of measurement: Visual Analogue Scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAtefeh Ghosouri
Esfahan University of Medical Sciences
Outcome results
None listed