MedPath

Efficacy of TAP Block in Cesarean Section Patients

Phase 3
Completed
Conditions
Pain Control
Interventions
Procedure: TAP block using Bupivacaine 0.25%
Procedure: TAP block using Bupivacaine 0.5%
Procedure: TAP block using Normal Saline
Registration Number
NCT03493828
Lead Sponsor
New York Presbyterian Brooklyn Methodist Hospital
Brief Summary

TAP Block done with 2 different concentrations of bupivacaine and placebo

Detailed Description

TAP Block was done using 2 different concentrations of bupivacaine (0.5% and 0.25%) and placebo and the post operative sedation was measured in each arm and compared together.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
60
Inclusion Criteria
  • Healthy pregnant women
Exclusion Criteria
  • Allergy to local anesthetics

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TAP using Bupivacaine 0.25%TAP block using Bupivacaine 0.25%Following completion of the Cesarean delivery, the abdomen was aseptically prepped with ChloraPrep®. A Sonosite ultrasound machine (S-nerve) with a 14-8 MHz linear probe was used to visualize the lateral abdominal wall muscles and transversus abdominis plane. A 2 or 4 inch stimuplex (Braun) needle was advanced under ultrasound guidance to the transversus abdominis plane. After negative aspiration, 15 ml of Bupivacaine 0.25% was incrementally injected on each side. The spread of solution within the transversus abdominis plane was visualized with the ultrasound.
TAP using Bupivacaine 0.5%TAP block using Bupivacaine 0.5%Following completion of the Cesarean delivery, the abdomen was aseptically prepped with ChloraPrep®. A Sonosite ultrasound machine (S-nerve) with a 14-8 MHz linear probe was used to visualize the lateral abdominal wall muscles and transversus abdominis plane. A 2 or 4 inch stimuplex (Braun) needle was advanced under ultrasound guidance to the transversus abdominis plane. After negative aspiration, 15 ml of Bupivacaine 0.5% was incrementally injected on each side. The spread of solution within the transversus abdominis plane was visualized with the ultrasound.
PlaceboTAP block using Normal SalineFollowing completion of the Cesarean delivery, the abdomen was aseptically prepped with ChloraPrep®. A Sonosite ultrasound machine (S-nerve) with a 14-8 MHz linear probe was used to visualize the lateral abdominal wall muscles and transversus abdominis plane. A 2 or 4 inch stimuplex (Braun) needle was advanced under ultrasound guidance to the transversus abdominis plane. After negative aspiration, 15 ml of normal saline was incrementally injected on each side. The spread of solution within the transversus abdominis plane was visualized with the ultrasound.
Primary Outcome Measures
NameTimeMethod
Effect of Transversus Abdominis Plane (TAP) Block Using Either 0.5% or 0.25% Bupivacaine on Analgesia for Cesarean Section Patients When Compared to Placebo.0-24 hours

The total the number of Patient Controlled Analgesia (PCA) boluses used by the patients postoperatively within 24 hours

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

New York Methodist Hospital

🇺🇸

Brooklyn, New York, United States

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