Analgesic Efficacy of Surgeon-administered Transversus Abdominis Plane Blocks for Caesarean Section.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Cesarean Section Complications
- Sponsor
- University of Calgary
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Post operative Pain
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
The purpose of this research study is to evaluate whether or not adding a Transversus Abdominis Plane Block (TAP block) improves pain control for patients having a cesarean section. A TAP block is a type of nerve block where at the end of the surgery an injection of a long acting local anesthetic is made into the abdominal wall. In studies in patient's having other abdominal surgeries this has reduced the amount of narcotics patients need for pain control. This may also led to patients being more active after surgery and maybe spending less time in hospital.
Detailed Description
Randomized clinical trial of Transversus Abdominis Plane Block (TAP block) at Cesarean Section.
Investigators
Stephen Wood
Dr Stephen Wood
University of Calgary
Eligibility Criteria
Inclusion Criteria
- •ASA status II to III
- •All patients undergoing elective CS under regional anesthesia at any gestational age.
Exclusion Criteria
- •- Known drug allergy to local anesthetics
- •Planned general anesthetic
- •NSAID use contraindicated post partum
- •Chronic pain disorder or chronic narcotic use/dependence
- •Planned vertical abdominal incision
- •Planned Cesarean Hysterectomy.
- •Placenta Previa or suspected Placenta Accreta
Outcomes
Primary Outcomes
Post operative Pain
Time Frame: 12 hours post op
VAS scale 0-no pain to 10-worst pain
Secondary Outcomes
- Time to first request for rescue analgesia in hours(48 hours post op)
- Time from surgery to discharge from hospital(Up to discharge from hospital, usually 1-3 days)
- Post operative Opioid use(up to 48 hours post op.)