Pain, Postoperative
Conditions
Keywords
incisional, infiltration, cs, lidocaine, epinephrine, Adverse Reaction to Topical or Infiltrative Lidocaine
Brief summary
Study to compare between efficacy of post-caesarean section infiltration with lidocaine and epinephrine versus lidocaine only to reduce post-incisional pain.
Detailed description
assessment of adding of epinephrine to lidocaine as local infiltrator to post-caesarean section wound in prolongation of its anaesthetic effect.
Interventions
•The wound of C.Swill be infiltrated before closure of the skin, with 20 ml of 2% lidocaine.
The wound of C.S will be infiltrated before closure of the skin, with 20 ml of 2% lidocaine and epinephrine in related dose manner 1:200.000.
Sponsors
Study design
Eligibility
Inclusion criteria
* Women undergoing caesarean delivery under General anesthesia for various indications. * Women refuse spinal anesthesia.
Exclusion criteria
* Known or suspected sensitivity to local anesthesia. * Medical disorders induced by pregnancy (Pre-eclamptic toxemia, gestational diabetes mellitus, Hepatic diseases, homeostatic disorder) * Medical disorders aggravated by pregnancy (cardiovascular disease, pulmonary disease, renal disease, neurological disease, metabolic or infectious diseases). * Women who hemo-dynamically unstable. * Lack of adequate verbal communication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Timing of first analgesic request. | 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Onset of breast breastfeeding | 24 hours | — |
| Onset of mobilization | 24 hours | first time patient start moving after the section |
| Duration of cesarean section | 30 min to 90 min | — |
| Side effects of local infiltration of lidocaine and epinephrine | 7 days | — |
| Postoperative pyrexia | 24 hours | \<38°c |
| Duration of hospital stay | 24 hours to 48 hours | — |
Countries
Egypt