Cesarean Section Complications
Conditions
Brief summary
This study aimed to compare bilateral ultrasound-guided TAP block with single-shot local anesthetic wound infiltration for analgesia after cesarean delivery performed under spinal anesthesia
Detailed description
This double-blind, randomized controlled trial aimed to compare bilateral ultrasound-guided TAP block to single-shot local anesthetic wound infiltration for analgesia after cesarean delivery performed under spinal anesthesia. This will be done by measuring VAS (visual analogue score) for pain after ceserian section at2, 4, 6, 12, 24 hours .
Interventions
DEVICETAP block
bilateral ultrasound-guided TAP block was performed using a 12-4-MHz linear array transducer (ClearVue 350; Philips, Bothell, WA) placed transversely between the iliac crest and costal margin in the anterior axillary line and slid medial-lateral to visualize the external oblique, internal oblique, and trans-versus abdominis muscles; the most lateral (posterior) position obtaining a satisfactory ultrasound image was used
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
computer-generated table of random numbers
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 39 Years
Healthy volunteers
No
Inclusion criteria
* Women undergoing cesarean section under spinal anesthesia * Aged ≥19 years and \> 40 years . * Gestational age ≥ 37 Weeks . * Informed Consent From the Patient .
Exclusion criteria
* Body mass index (BMI) ≥40 kg/m2 .. * History of recent opioid exposure . * Hypersensitivity to any of the drugs used in the study . * Significant cardiovascular, renal, or hepatic disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The degree of pain at rest ; | From 2 hours to 24 hours postoperatively | using an Visual analogue scale (VAS) scores for pain intensity reported on 0-10 point scale for analysis. (0 = no pain and 10 = the worst possible pain) . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The time to the first postoperative opioid dose | at 2, 4, 6, and 12 hours. | cumulative opioid consumption |
Other
| Measure | Time frame | Description |
|---|---|---|
| The degree of pain on movement (hip flexion and coughing) | From 2 hours to 24 hours postoperatively | using an Visual analogue scale (VAS) scores for pain intensity reported on 0-10 point scale for analysis. (0 = no pain and 10 = the worst possible pain) . |
Countries
Egypt
Contacts
Primary ContactAhmed Gamal Elnajar, MD
Outcome results
None listed