Postoperative Pain
Conditions
Brief summary
Prospective, randomized study comparing local wound infiltration with local anesthetic (LA) versus single injection TAP blocks (ssTAP) with LA versus continuous TAP block (TAP caths) catheters with LA for treatment of postoperative pain after total abdominal hysterectomy (TAH).
Interventions
PROCEDUREWound Infiltration
Wound Infiltration with 0.25% Bupivacine
PROCEDURETAP Blocks
bilateral TAP block with 0.25% Bupivacaine
PROCEDURETAP Catheters
bilateral TAP Catheter with repeat bolus of 0.25% Bupivacaine
Sponsors
University of Arkansas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Scheduled to undergo total abdominal hysterectomy * Age ≥ 18 years. * American Society of Anesthesiologists (ASA) physical status ≤ 3
Exclusion criteria
* Known coagulopathy * Known allergy to Bupivacaine or morphine * Contraindication to Tylenol usage * Medical conditions contraindicated to bupivacaine use * Daily narcotic usage for ≥ 2 weeks of 20mg of oxycodone daily or an equivalent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total morphine consumption postoperatively for pain management as measured by the Visual Analog Scale (VAS) pain scale. | Up to 48 hours post treatment | The total morphine consumption used post operatively to manage pain will be measured utilizing the VAS pain scale with 0 being no pain and 10 being as much pain as can be tolerated. |
Countries
United States
Outcome results
None listed