Pain management folllowing surgery
Conditions
Interventions
- Study setting - Study will be conducted at ward 05, teaching hospital Kandy, Sri Lanka
- Randomization - Block randomization will be carried out following making of computer generated random number
Sponsors
Teaching Hospital Kandy, Sri Lanka.
Eligibility
Inclusion criteria
Inclusion criteria: patients who are scheduled and admitted for abdominal hysterectomy 1. via supra pubic transverse incision 2. aged between 40-60 3. American society of anesthesiology physical status classification system grade I-II which includes normal healthy patients, patients with mild systemic diseases like well controlled hypertension, diabetes and mild lung diseases.
Exclusion criteria
Exclusion criteria: 1. history of drug allergy to local anesthetic agents 2. local skin abnormalities at the site of introducing the TAP block like burned skin, local infection and inflammatory conditions 3. stage 3-4 endometriosis 4. pelvic inflammatory diseases 5. malignant conditions 6. patients who have diabetes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure will be requirement for additional opioid analgesia during post- operative period that will be given according to patients’ demand. Intramuscular pethidine will be offered according to requirement with minimal of 6 hours apart and total doses and the time will be marked. Other than pethidine, tramadol and panadine will be offered secondarily if request by patients and will be document in data collection form. [Patients will be assessed at 2, 6, 12, 24, 36 and 48 hour intervals. Post-operative Pethidine requirement in 12, 24, 48 hours will be calculated and analyzed. ] | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures will be patient centred assessment of post-operative pain which will be assessed using a visual analogue scale (VAS) both at rest and while flexing her knee joint. VAS is scaled from 0 to 10 where no pain is 0 and maximum painis10 that would be marked by patients at different time periods postoperatively. At the end of the procedure of both ultrasound guided and open internal TAP time will be recorded at data collection sheets. As TAP block takes 45 minutes to have its action patients will be assessed at 2, 6, 12, 24, 36 and 48 hour intervals since the time of ending the TAP block [Patients will be assessed at 2, 6, 12, 24, 36 and 48 hour intervals. ] | — |
Countries
Sri Lanka
Contacts
Public ContactDr. R P J Sumanathissa
Registrar in Obstetrics and Gynarcology
Outcome results
None listed