Ultrasound-Guided Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for post operative analgesia in patients undergoing Lower Segment Cesarean Section: A randomized comparative study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Duration of postoperative analgesia (time at which first rescue analgesic required)
研究概览
简要总结
Ultrasound-guided Quadratus Lumborum block and Transversus Abdominis Plane block are well established modes of administering postoperative analgesia in various abdominal surgeries. However, there are very few studies comparing the efficacy of these two blocks in Lower Segment Cesarean Section surgeries. In this study, the efficacy of these two blocks will be measured in terms of the duration of postoperative analgesia, that is, the time at which first rescue analgesic would be required, in patients undergoing Lower Segment Cesarean Section under spinal anaesthesia. The blocks will be performed at the end of the surgery with 20 ml of 0.25% Bupivacaine on each side (maximum dose not exceeding 2 mg/kg) . The outcome measures will be evaluated using appropriate statistical tools.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 50.00 Year(s)（—）
- 性别
- Female
入选标准
- •Patients posted for Lower Segment Cesarean Section under spinal anaesthesia.
排除标准
- •ASA physical status III and IV
- •Known allergy to local anaesthetic drugs
- •Coagulation disorders
- •Local infection at the site of block.
结局指标
主要结局
Duration of postoperative analgesia (time at which first rescue analgesic required)
时间窗: time at which first rescue analgesic required, that is, Numeric Rating Score more than 4
次要结局
- Time taken for administration of block (time taken from insertion of needle to administration of drug)(time taken from insertion of needle to administration of drug)
- Adverse effects related to the block- Local hematoma or infection, lower limb weakness, hemodynamic variations .(24 hrs)
- Total dose of rescue analgesic required in first 24hrs postoperatively(24 hrs)
- Maternal satisfaction(24 hrs)
研究者
Dr Sonali Samant
Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital