Pregnancy and Childbirth Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Elective caesarean section. Adult patients = 18 years of age. ASA I - III.
Exclusion criteria
Exclusion criteria: Emergency Caesarean Section. BMI =35 (Taken at time of consent). Patients that do not give signed informed consent to participate. Contra-indication to spinal anaesthesia. Contra-indication to local anaesthetic agent or opioids. Patients requiring conversion from spinal anaesthesia to general anaesthesia at any stage during the caesarean section. Patients with any physical or mental impairment which prevents them from being able to use a patient-controlled analgesia (PCA) pump postoperatively. Patients with pre-existing chronic pain syndromes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine and compare total 24-hour morphine consumption between the two groups of patients receiving ESP or TAP blocks during elective caesarean section performed under spinal anaesthesia. | — |
Secondary
| Measure | Time frame |
|---|---|
| To describe and compare the time taken until first morphine patient-controlled analgesic (PCA) use in both groups. To describe and compare the numeric rating scale pain scores at intervals 0-, 6-, and 24-hours in both groups. To describe and compare opioid related side effects in both groups. To describe and compare patient satisfaction at 24-hours in both groups. To describe and compare the time taken to perform the blocks in both groups | — |
Countries
South Africa
Contacts
University of Witwatersrand Anaesthesiology