Thoracic Erector Spinae Plane Block for painless1st Stage Normal Vaginal Delivery: Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- 1. numerical rating pain score (NRS) during the course of delivery
研究概览
简要总结
this study will test a novel indication for bilateral erector spinae plane block (painless 1st stage normal vaginal delivery) it depends on the hypnosis that the erector spinae plane block blocks the visceral pain also by affecting the ventral rami, dorsal rami and rami communicants.
详细描述
Aim of the work In this article, the efficacy of bilateral thoracic (ESP) to provide painless delivery without affecting the motor power (walking painless labor) will be studded.
The main objective:
- numerical rating pain score (NRS) during the course of delivery will be recorded and compared.
Other objectives:
- the total doses of pethidine needed through-out delivery will be measured
- the incidence of failed delivery and need of cesarean section will be assessed
- the incidence of transient fetal bradycardia or deceleration after the administration of the block will be recorded
- ABGAR score of the neonate immediately after delivery and after 5min, 10min,15min after delivery. Will be recorded
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •pregnant ladies 37-40 weeks of gestation scheduled for normal vaginal delivery ASA 2 either prime or multipara
排除标准
- •pregnant ladies with complicated pregnancy eg; IUGR,accidental hemorrhage, preeclampsia pregnant ladies scheduled for cesarean section
研究组 & 干预措施
group 1
:(group 1) will be putted in sitting position and disinfecting her back. A real-time high-frequency linear ultrasound will be used to do the thoracic (ESP) at the level of T11 by visualizing the transverse process of T11 thoracic vertebrae and erector spinae muscle and injecting a 20 ml of bupivacaine 0.25% bilaterally using an in-plane technique, a 20-gauge, 70-mm needle (Tuoren, Henan, China) will be advanced into the plane below (ESM) after injecting lidocaine 1% 2ml at the site of injection, Needle will be advanced with a cranial to caudal direction
干预措施: bilateral erector spinae plane block at T11 (Procedure)
group 2
(group 2) patients will receive pethidine 25mg doses if NRS >4.
干预措施: bilateral erector spinae plane block at T11 (Procedure)
结局指标
主要结局
1. numerical rating pain score (NRS) during the course of delivery
时间窗: every 30 minutes throughout the delivery
1. numerical rating pain score (NRS) during the course of delivery will be recorded and compared
次要结局
- 3. the incidence of transient fetal bradycardia or deceleration after the administration of the block will be recorded(immediately after administration of the block)
- 4. ABGAR score of the neonate immediately after delivery and after 5min, 10min,15min after delivery. Will be recorded(at birth , after 5 min., 10min., 15 min.)
- 1. the total doses of pethidine needed through-out delivery will be measured(throughout the first stage of delivery)
- 2. the incidence of failed delivery and need of cesarean section will be assessed(throughout delivery time)
研究者
Asmaa adel
lecturer of anesthesia and intensive care MD
Ain Shams University