Acupuncture, Morphine Induced Pruritis
Conditions
Keywords
Caesarean Delivery, Pruritis, Intrathecal Morphine, Acupuncture At LI11
Brief summary
Intrathecal morphine is commonly used for pain relief in caesarean delivery. Side effects such as itch (pruritis) and nausea & vomiting are common and have been shown to be the most common cause for dissatisfaction. The incidence of pruritis is 74% even with current available medications. Acupuncture has been shown to be effective for morphine related side effects but has not been evaluated for prophylaxis of itch in pregnant population. PRIMARY OBJECTIVE: Acupuncture at LI 11 reduces the incidence of pruritis after elective caesarean section under spinal with intrathecal morphine
Interventions
ACUPUNCTURE AT LI11 FOR 30 MINUTES PRIOR TO INTRATHECAL MORPHINE & LEFT IN PLACE FOR 30 MINUTES
SHAM ACUPUNCTURE AT A POINT 2 CM LATERAL TO LI11 30 MINUTES PRIOR TO INTRATHECAL MORPHINE & LEFT IN PLACE FOR 30 MINUTES
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I & II patients undergoing elective caesarean delivery under spinal with intrathecal morphine
Exclusion criteria
* Patient refusal * ASA III & IV patients * Pre-existing pruritis * Eczema * Bleeding tendencies * Known allergy to any of medications used * Any contra indication to spinal anaesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of pruritis | First 24 hr post intrathecal morphine | To determine acupuncture at li 11 reduces the incidence of pruritis after elective caesarean delivery under spinal anaesthesia with intrathecal morphine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity of pruritis | 1, 4, 8, 24 hr post intrathecal morphine | To determine acupuncture reduces: 1. Severity of pruritis 2. Requirement of relief medications |
Countries
Ireland