Cesarean Section
Conditions
Keywords
cesarean section, continuous wound infiltration, transversus abdominis plane block
Brief summary
Women undergoing elective cesarean delivery, performed under a standard spinal anesthesia, will be randomized to undergo either TAP block or incisional infiltration with local anesthetic, in addition to standard postoperative analgesia comprising regular acetaminophen, nefopam and ketoprofen. Short acting oral morphine will be given as a rescue treatment in case of severe pain.
Interventions
OTHERTransversus Abdominis Plane (TAP) Block
Bilateral injection of levobupivacaine (20 mL, 3.75 mg/mL)
OTHERIncisional Infiltration of Local Anesthetic
continuous administration of levobupivacaine (1,25 mg/mL,5 mL/h) during 48 hours.
Sponsors
Hopital Foch
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* scheduled cesarean section performed under spinal anesthesia * ASA I or II * height above 1,55 m * singleton pregnancy
Exclusion criteria
* contre indication to a drug used in the study (levobupivacaine, ketoprofen, nefopam)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| severity of postoperative pain | 48 postoperative hours |
Secondary
| Measure | Time frame |
|---|---|
| morphine requirement | 48 postoperative hours |
| complication of each loco-regional technique | end of hospitalisation |
| delay before the first rescue dose of morphine | 48 postoperative hours |
| length of hospital stay | end of hospitalisation |
| occurrence of a neuropathic postoperative pain | 1 month postoperatively |
| patient's satisfaction | end of hospitalisation |
Countries
France
Outcome results
None listed