Chronic Post Cesarean Pain
Conditions
Brief summary
The aim of this study is to compare the incidence of CPSCP in patients receiving QLB quadratus lumborum block and ITM versus control as a primary outcome and associated risk factors that might predispose patients to develop CPSCP.
Detailed description
The aim of this study is to compare the incidence of chronic post cesarean pain in patients receiving quadratus laborum block and and intrathecal morphine versus control as a primary Study design: Patients will be randomly allocated to the procedure through closed envelopes and so syringes and medication will be prepared and labelled by anesthetist other than the anesthetist giving the block Patients will be randomly allocated to the procedure through closed envelopes and so syringes and medication will be prepared and labelled by anesthetist other than the anesthetist giving the block Data will be collected regarding the demographic data, gestational stage, parity and number of previous cesarean section, previous abdominal surgeries, and narcotic consumption. Postoperative pain day 1 and day2 will be followed by anesthetist who is blinded to the applied technique used. Follow up for the subsequent period of observation (2,4and 6 months) will be done by the department secretary who will contact the patients by phone to ask them if there is any concern after the operation. If the patient refers to a pain at the surgical site that has been lasting for the past three months a call will be conducted by the anesthetist and a referral schedule will be appointed to the pain clinic consultant for further evaluation
Interventions
PROCEDUREQuadratus laborum block
quadratus lumborum block will be performed using ultrasound machine (Sonosite Portable Ultrasound System, SonoSite, Bothell, Washington, USA). A 5-8 MHZ curved probe will be used with the patient positioned on the lateral side
DRUGIntrathecal morphine
Intrathecal morphine 100mcg will be added to bupivacaine 0.5% 15mg and fentanyl 20 µg
intrathecal bupivacaine 0.5% 15mg and fentanyl
Sponsors
Menoufia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
Patients will be randomly allocated to the procedure through closed envelopes and so syringes and medication will be prepared and labelled by anesthetist other than the anesthetist giving the block
Intervention model description
randomized control study
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* patients admitted to the operating theatre for elective caesarean section
Exclusion criteria
* lack of informed consent * Allergy to drugs used during the study * Depression and epilepsy that required antidepressants or anticonvulsants * known coagulopathy as a contraindication for spinal anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale | Six months | As zero is no pain and 10 is the maximum pain that can be felt |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| narcotic consumption | 48 hours | narcotic consumption |
Countries
Egypt
Outcome results
None listed