Pain
Conditions
Brief summary
This is a randomized controlled study that will place patients into a choice and a no choice group. The choice group will be able to choose between receiving 100 mcg or 200 mcg intrathecal morphine. The no choice group will be randomized to receive either 100 mcg or 200 mcg of intrathecal morphine. Following casarean delivery, pain scores will be measured at 3, 6, 12, 24, and 36 hours.
Detailed description
This randomised controlled study will include pre-operative screening with a 2 simple questionnaires and the patient will be randomised into a choice and no choice groups. The group with the choice will be offered 2 different doses of intrathecal morphine (100, 200 mcg) which they can decide on after being given a standard script explaining advantages and disadvantages of each dose. Following cesarean section patients will be followed up at 3, 6, 12, 24, 36, 48 hours following spinal injection to assess severity of pain, time to first analgesia, total analgesia requirements, treatment of nausea, vomiting and pruritus.
Interventions
100 versus 200 mcg IT morphine
Sponsors
Study design
Eligibility
Inclusion criteria
* Women age 18-50 with singleton, term gestation fetuses and scheduled for their 1st, 2nd, or 3rd elective CS (not in labor) will be included.
Exclusion criteria
* Patient refusal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain scores (0-10) and analgesic use (morphine mg-equivalents) between the groups that have analgesic choice vs. no choice and among the actual doses received. | up to 6 months |
Secondary
| Measure | Time frame |
|---|---|
| preoperative questionnaire predictor scores versus postoperative pain and analgesic consumption post cesarean delivery. | Baseline and day 1 |
Countries
United States