A comparative study of two methods of nerve block (during surgery and the other after surgery) for pain on pain relief after cesarean section

Not yet recruiting

• Conditions: Sequelae of complication of pregnancy, childbirth, and the puerperium,

• Registration Number: CTRI/2021/05/033512
• Lead Sponsor: Bangalore Baptist Hospital

Brief Summary

Caesarean section delivery is becoming morefrequent and at present is one of the most common major operative proceduresperformed worldwide. It is important that effectivepostoperative analgesia is provided to facilitate early ambulation, infant care(which also includes breast feeding, mother infant bonding) and prevention ofpostoperative morbidity. Therefore, the analgesic regimen needs to meet thegoals of providing safe and effective analgesia with minimal side effects forthe mother and the neonate. TAP block as a part of multimodal analgesic regimenwould result in decreased opioid and NSAID consumption and improved analgesia.TAP block is conventionally performed by the anaesthesiologist, using apercutaneous approach under ultrasound-guidance. The surgically administeredTAP block is a variant of TAP block administration, the efficacy of which incomparison to the conventional TAP block as a part of multimodal analgesicregimen following caesarean section is not very widely studied till date. Ourstudy is designed to assess if the newly described surgical TAP block is aseffective as the conventional TAP block (by comparing the requirement of rescueanalgesia in both the groups) for post-operative analgesia following caesareansection in the Indian set-up in which surgical TAP block prove to be an easierprocedure as there no the need for skilled operators or specialized equipment.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-05-14
• Last Update Posted: 2021-08-05

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• Pregnant women undergoing elective caesarean section under spinal anaesthesia 2.
• Age group of 18-40 years.
• ASA grade I or II.

Exclusion Criteria

• Patient refusal 2.
• If vertical abdominal incision was required 3.
• Planned duration of surgery more than two hours 4.
• Having blood loss greater than 2 L 5.
• Thrombocytopenia 6.
• History of allergy to the study drug 8.
• Body Mass Index (BMI) <18 or >35 Kg/m2 9.
• Patients with hypertensive disorders 10.
• Alcohol or drug abuse.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time to rescue analgesia	Before 24 hours

Secondary Outcome Measures

Name	Time	Method
Amount of rescue analgesia	Before 24 hours
•Time taken to perform the TAP block	AT THE TIME OF PROCEDURE

Trial Locations

Locations (1)

Bangalore Baptist hospital; 🇮🇳 Bangalore, KARNATAKA, India

Bangalore Baptist hospital

🇮🇳Bangalore, KARNATAKA, India

Dr Jahnavi Jayakumar

Principal investigator

8861138840

jahnavijay@gmail.com