TO STUDY THE DURATION OF POSTOPERATIVE PAIN RELIEF PROVIDED BY NERVE BLOCKS IN PATIENTS UNDERGOING CESAREAN SECTION UNDER SUBARACHNOID BLOCK

Not yet recruiting

• Conditions: Pregnancy, childbirth and the puerperium,

• Registration Number: CTRI/2025/04/084471

Brief Summary

Pain after cesarean section (CS)has both a somatic component due to surgical incision and a visceral component due to uterine contractions. The sensory innervations of the Pfannenstiel incision in CS is provided by T 12 and L1 nerves branches including the lateral femoral cutaneous nerve, ilioinguinal and iliohypogastric nerve.

Transversalis Fascia Plane (TFP) block involves injection of local anesthetic into this plane, thus providing targeted pain relief by blocking the nerves. TFP block targets ilioinguinal and iliohypogastric nerve, proximal branches of T12 and L1 and to a lesser extent T11.

Transversus abdominis plane (TAP) block is among the most common techniques used and extensively studied for postoperative analgesia, it blocks T6-L1 nerve roots and can provide analgesia for lower abdominal procedures.

In this study we aim to investigate the analgesic efficacy and safety of USG-guided bilateral TFP block in comparison with UGS-guided bilateral TAP block in patients undergoing cesarean section.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-04-20
• Last Update Posted: 2025-07-04

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Female
• Target Recruitment: 50

Inclusion Criteria

• Patients undergoing cesarean section under subarachnoid block ASA.
• PS ( American Society of Anesthesiologists physical status) II & III.

Exclusion Criteria

Not provided

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess the post operative analgesic efficacy of transversalis fascia plane (TFP) block and transverse abdominis plane (TAP) block in cesarean section under subarachnoid block (total duration of blockade , time for 1st rescue analgesic )	Every 2nd hourly for 24hours in post-operative period

Secondary Outcome Measures

Name	Time	Method
Post operative VAS scores at 0,2,4,6,12, 24 hours	Post operative additional analgesic requirement in 24 hours.

Trial Locations

Locations (1)

Dr. B.R Ambedkar Medical College and Hospital; 🇮🇳 Bangalore, KARNATAKA, India

Dr. B.R Ambedkar Medical College and Hospital

🇮🇳Bangalore, KARNATAKA, India

Dr Suvina

Principal investigator

6366279888

suvi11492@gmail.com