Postoperative Recovery, Abdominal Pain, Cesarean Section
Conditions
Keywords
cesarean section surgery, postoperative recovery, postoperative pain, trasversalis fascia plane block, transversus abdominis plane block, obstetric quality of recovery 11 Turkish score, numeric rating scale
Brief summary
Inadequate pain control after cesarean section surgery causes postpartum depression, persistent pain and delayed mother-infant bonding. The investigator's aim is to asses whether ultrasound guided transversalis fascia plane block (TFPB) or transversus abdominis plane (TAP) block would improve postoperative quality of recovery and decrease postoperative opioid consumption after cesarean section surgery.
Interventions
PROCEDURETransversalis Fascia Plane Block
40 ml %0.25 bupivacaine divided into 2 equal doses will be injected by the anesthesiologist under ultrasonography guidance between transversus abdominis muscle and transversalis fascia bilaterally
PROCEDURETransversus Abdominis Plane Block
40 ml %0.25 bupivacaine divided into 2 equal doses will be injected by the anesthesiologist under ultrasonography guidance in the fascial plane between internal oblique muscle and transversus abdominis muscle bilaterally
Sponsors
Muğla Sıtkı Koçman University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists physical status II-III * Cesarean section surgery under spinal anesthesia
Exclusion criteria
* American Society of Anesthesiologists physical status IV * Emergency surgery * General anesthesia * Additional surgical intervention at the same session * Body mass index of more than 35 kg/m2 * Allergy to any study drugs * Local infection at the injection site * History of drug abuse * Communication problem * Coagulopathy * Preeclampsia and eclampsia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative quality of recovery | Postoperative 24th hour | Postoperative quality of recovery will be assessed by Obstetric Quality of Recovery 11 Turkish (ObsQoR-11T) score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | Postoperative 1st, 2nd, 4th, 8th 12th and 24th hour | Morphine consumption will be assessed by checking patient controlled analgesia (PCA) device records and fentanyl consumption will be assessed by checking patient daily drug order records |
| Numeric Rating Scale | Postoperative 1st, 2nd, 4th, 8th 12th and 24th hour | A blinded nurse will assess postoperative pain during resting and movement at postoperative 1st, 2nd, 4th, 8th 12th and 24th hour by using 11-point Numerical Rating Scale which ranges from '0' (means no pain) to '10' (means worst pain imaginable) |
| Adverse Reactions | Postoperative 24th hour | Nausea, vomiting, constipation, urinary retention and skin rash/pruritus will be assessed |
Countries
Turkey (Türkiye)
Outcome results
None listed