Comparison of ultrasound-guided bilateral quadratus lumborum block versus intrathecal fentanyl for postoperative analgesia after caesarean section: a randomised controlled trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- To compare the time to first rescue analgesia and pain score at 4,6 ,12 ,24 hours in both the groups
研究概览
简要总结
Background- Caeserean section is the most performed surgeries in obstetrics and gynaecology.Adequate analgesia after surgery is much required for the patients for early ambulation and also to feed the newborn.Opioids have been the cornerstone for analgesia .However they are associated with adverse effects like nausea,vomiting,pruritus.Truncal blcoks like transversus abdominis (TAP) block has already been studied as a alternative for opiods. Recent studies have concluded that TAP block does not provide adequate analgesia as it relives the somatic pain only. Quadratus lumborum block is a extension of TAP block.It affects both the soamtic and visceral pain and provide adequate analgesia.The study is aimed to compare the effect of ultrasound guided quadratus lumborum block in post analgesia of patients undergoing caeserean section.Any positive outcome will result in providing opiod free analgesia to post caeserean patients
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 35.00 Year(s)（—）
- 性别
- Female
入选标准
- •ALL American society of Anaesthesiologist Physical Status-II patients undergoing caeserean section under spinal anaesthesia.
排除标准
- •Patients history of allergy to any of the study drugs, 2)Body mass index (BMI) ≥ 35 kg/m2 3)History of Opioid abuse 4)Gestational Diabetes 5)Heart failure •Fungal/viral systemic/local infection •Hypertensive disorders •Psychiatric illness.
结局指标
主要结局
To compare the time to first rescue analgesia and pain score at 4,6 ,12 ,24 hours in both the groups
时间窗: 04,06,12,24 hours after the end of surgery
次要结局
- To note the time for first ambulation ,quality of recovery and any adverse effects like nausea, vomiting, respiratory depression(24 hours)