Caesarean Section; Pain
Conditions
Keywords
Caesarean, TAP-block, Postoperative pain
Brief summary
Cesarean sectionis a commonly performed major surgical procedure that results in significant postoperative pain. The objective of this study was to evaluate the effectiveness in the management of post-cesarean pain at the CHU Souro Sanou of Bobo-Dioulasso
Interventions
TAP block under ultrasound
Sponsors
Study design
Intervention model description
Patients admitted for caesarean under spinal anesthesia were randomized according to the sealed envelope method into two groups. Group 1 received 100 µg of morphine intrathecally at induction and group 2 a bilateral TAP block at the end of cesarean section with 20 ml of bupivacaine 0.25% and dexamethasone 4 mg in the same syringe on each side.
Eligibility
Inclusion criteria
* Adult parturients (≥ 18 years old) awaiting caesarean section under spinal anesthesia * ASAI, ASAII
Exclusion criteria
* Lack of informed consent, * Parturients with cognitive disorders, * Parturients with notion of chronic pain, * Allergy to local anesthetics, * Morphine allergy * Parturients not understanding pain assessment scores
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of mild pain on mobilization in the first 24 postoperative hours | Hours 24 postoperative | The numerical pain score after moving from a lying position to a sitting position |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of mild pain at rest in the first 24 postoperative hours | Hours 24 postoperative | The numerical pain score at rest |
| Proportion of mild pain on mobilization in the first 48 postoperative hours | Hours 48 postoperative | The numerical pain score after moving from a lying position to a sitting position |
| Proportion of nausea-vomiting postoperative during the first 48 hours | Hours 48 postoperative | At each passage of the nurses |
| Proportion of maternal satisfaction during the first 48 hours postoperatively | Hours 48 postoperative | The simple numerical score |
Countries
Burkina Faso