Postoperative Pain
Conditions
Keywords
magnesium sulfate, postoperative pain, TAP block, total abdominal hysterectomy
Brief summary
Major abdominal surgeries are associated with severe abdominal pain, which can affect respiratory and cardiac functions, if insufficiently managed. This increases the incidence of post-operative morbidity. The objective of this study was to detect the efficacy and safety of magnesium sulphate as an adjuvant to the analgesia offered by local anesthetic in ultrasound guided TAP block in patients undergoing total abdominal hysterectomy.
Interventions
ultrasound guided TAP block with 20 mL of 0.25% bupivacaine plus 2 mL magnesium sulfate 10% (200 mg), on each side of the abdominal wall.
ultrasound guided TAP block with 20 mL of 0.25% bupivacaine on each side of the abdominal wall.
Sponsors
Study design
Eligibility
Inclusion criteria
* weight: 50- 85 kg. * ASA score: I-III * scheduled for total abdominal hysterectomy
Exclusion criteria
* history of relevant drug allergy. * coagulation disorders. * opioid dependence. * sepsis. * psychiatric illnesses that would interfere with perception and assessment of pain.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| total postoperative morphine consumption | postoperative 24 hours | total amount of rescue morphine consumption in the first 24 hours postoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain | postoperative 24 hours | postoperative pain measured by VAS score recorded in the first 24 hours postoperatively |
| first request of rescue analgesia | postoperative 24 hours | time to the first requirement of rescue analgesia during the first 24 hours postoperatively |
| side effects | postoperative 24 hours | occurrence of side effects during the first 24 hours postoperatively |