Analgesia, Anesthesia; Sexual
Conditions
Keywords
anesthesia recovery period, cesarean section, obstetric anesthesia, spinal anaesthesia, postoperative analgesia
Brief summary
The goal of this prospective randomized study was to compare the efficacy of transversus abdominis plane block and transversalis fascia plane block for postoperative analgesia in patients undergoing elective cesarean section under spinal anesthesia. The main question\[s\] it aims to answer are: \[Is transversalis fascia plane block more effective in postoperative analgesia? \] \[Is there a difference between the duration of postoperative first analgesia requirement? \] Since the pain scores after the block at the end of the operation will be evaluated during the postoperative 24 hours, the participants will be asked to give a value between 0 and 10 in certain time periods.
Detailed description
This prospective, randomized trial was conducted at Başakşehir Çam and Sakura City Hospital by the Declaration of Helsinki. After ethics committee approval (decision no: 2022-74, date: 09.03.2022) and written informed consent was obtained from all patients, the trial was conduct-ed according to Consolidated Standards of Reporting Trials (CONSORT) guidelines.A total of 150 patients were divided into two groups: transversal fascia plane block (TFPB group) and Transversus abdominis plane block (TAPB group).VAS values, time to first analgesic requirement, analgesic requirements, nausea & vomiting and pruritus were evaluated for 24 hours postoperatively (6th hour (T2), 12th hour (T3), 24th hour .
Interventions
PROCEDUREPatients undergoing transversalis fascia plane block
The investigators applied a transversalis fascia plane block to the group of patients who had a cesarean section under spinal anesthesia to prevent postoperative pain.
PROCEDUREPatients undergoing transversus abdominis plane block
The investigators applied a transversus abdominis plane block to the group of patients who had a cesarean section under spinal anesthesia to prevent postoperative pain.
Sponsors
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
prospective randomize study
Intervention model description
Prospective randomize study
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* 20-50 years old pregnant woman * ASAII-III * Patients accepting spinal anesthesia
Exclusion criteria
* Morbid obesity(BMI \>40) * Patients who are switched to general anesthesia in an unexpected perioperative situation * Patients with placental anomaly * Patients with bupivacaine allergy * Fetal distress situations too urgent to wait for spinal anesthesia and patients who do not want spinal anesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time of first analgesic need | 24 hours postoperatively | Our primary goal was to meet the initial analgesic requirement times. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| visuel analog scale | 24 hours postoperatively | Our secondary aim was to compare postoperative pain scores. The first 24 hours postoperatively were evaluated.Visual analog scale(VAS) was used to assess postoperative pain.6th, 12th, 24th hour VAS values were recorded For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable. |
Countries
Turkey (Türkiye)
Outcome results
None listed