Analgesic Effect of Erector Spinae Plane Block After Caesarean Section

Not Applicable

Completed

• Conditions: Ceserean Section and Postoperative Pain
• Interventions: Procedure: Erector Spinae Plane Block

• Registration Number: NCT04599842
• Lead Sponsor: Ataturk University

Brief Summary

Background: Our hypothesis was that bilateral ESP block applied from the transverse process of T9 in women who underwent elective cesarean section with pfannenstiel incision under spinal anesthesia could provide effective postoperative analgesia.The primary outcome in this study was total opioid consumption for 24 hours.

Material and Method: This randomized prospective study was carried out on 50 pregnant women who was scheduled for elective cesarean delivery via a Pfannenstiel incision with spinal anesthesia.Patients were randomly allocated in to two equal groups.Group SA was categorized as the group which spinal anaesthesia alone (SA) was performed, Group SA+ESP was categorized as group which SA+ESP block was performed. All groups received 7 mg isobaric bupivacaine +15 µg fentanyl intrathecally through spinal anesthesia. The SA+ESP group, ESP block was performed at the ninth thoracic transverse process with 20 ml 0.25% bupivacaine + 2 mg dexamethasone immediately after the operation. Total fentanyl consumption in 24 hrs, visual analogue scale (VAS) score for pain, time to the first analgesic request were evaluated postoperatively.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-03-15
• Primary Completion: 2020-06-25
• Study Completion: 2020-06-25
• Status Verified: 2020-10
• Study First Submitted: 2020-10-09
• Study First Submitted QC: 2020-10-22
• Study First Posted: 2020-10-23
• Last Update Submitted: 2020-10-26
• Last Update Posted: 2020-10-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 50

Inclusion Criteria

pregnant women,38-42 gestational weeks, ASA I-II

Exclusion Criteria

• ≤18 or ≥45 age, has emergency obstetric surgery, pregnancy induced hypertension, significantly systematic disease, foetal or placental abnormality, hypersensitivity or allergy history to medicine to be used in the study, BMI≥35, autonomic neuropathy, diabetic, contraindicate to apply neuroachylic anaesthesia, who was transferred to general anaesthesia, could not decide or did not want to participate in the study, had severe respiratory and cardiac disease, was transferred to general anaesthesia, has infection, spine or chest wall deformity in operation area, has opioid dependence, chronic analgesic usage, inability to use a patient-controlled analgesia (PCA) device, couldn't be able to cooperative and express their pain with visual analogue scale score (VAS).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
GROUP SA+ESP	Erector Spinae Plane Block	Group SA+ESP was categorized as group which SA+ESP block was performed.

Primary Outcome Measures

Name	Time	Method
The primary outcome in this study was total opioid consumption for 24 hours.	24 hours	Total fentanyl consumption postoperative 24 hours

Trial Locations

Locations (1)

Aysenur Dostbil; 🇹🇷 Yakutiye, Erzurum, Turkey