Cesarean Section Complications, Pain, Acute, Pain, Postoperative
Conditions
Brief summary
Acute pain is reported in approximately 80% of patients undergoing postoperative care for various types of surgical procedures in the United States. Another study reported patient postoperative pain intensity with 75% with severe pain in the first 1 to 2 postoperative days and 38% reporting moderate to severe pain at 14 postoperative days. Several modalities have been used as the standard for the management of pain postoperative C-sections. One of the postoperative analgesic modalities for SC is quadratus lumborum block (QLB). This technique has advantages in relieving postoperative pain after C-section because it is considered to be able to relieve visceral pain as well as somatic pain. The transmuscular QLB (QLBT) approach is one of the most frequently used. This technique was found to be effective with regard to the distribution of analgesics to the paravertebral spaces which is the hallmark of QLB. However, this technique was found to be difficult to perform. Difficulties were reported related to the position of the procedure i.e. lateral or sitting position.
Interventions
OTHERQuadratus lumborum block after C-section surgery as postoperative pain management
To manage postoperative pain, the subjects will be allocated to either QLB or QLTB group to receive the respective intervention.
Sponsors
Udayana University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* Underwent C-section with subarachnoid block * Aged 18-35 years old. * ASA preoperative physical status 1-2
Exclusion criteria
* Coagulopathy * Anatomic abnormalities of the abdomen * History of allergy to local anesthesia * History of hyperalgesia * History of drug abuse (sedatives, opioids, paracetamol, or other pain relievers) * Require postoperative intensive care * Refuse to participate in research.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | Up to 24 hours after surgery | Postoperative pain intensity measured by Visual Analog Scale (VAS), 0=no pain, 100=worst pain |
| Postoperative morphine requirements | Up to 72 hours after surgery | Total delivered morphine dose after surgery to alleviate postoperative pain (measured by total delivered dose recorded on the Patient-Controlled Analgesia tool) |
Countries
Indonesia
Outcome results
None listed