Comparison of the Effects of Transversalis Fascia Plane Block and Anterior QLB ( TFPB and Anterior QLB ) on Postoperative Analgesia in Cesarean Section Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Analgesia
- Sponsor
- Ondokuz Mayıs University
- Enrollment
- 49
- Locations
- 1
- Primary Endpoint
- Opioid consumption in the first 24 hours after surgery
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This study evaluates the postoperative analgesic effects of transversalis fascia plane block and anterior quadratus lumborum block in patients having cesarean section under general anesthesia. General anesthesia will be performed to all patients for the surgery.
Detailed Description
In this study, patients are divided into two groups. After the general anesthesia is performed and cesarean section surgery is over; TFPB block will be performed to patients in Group A ; while anterior QLB block will be performed to patients in Group B. In addition, patient controlled analgesia (PCA) will be used in the first 24 hours postoperatively. Group A - Patients in group A will have TFPB block after the surgery. In addition, patient controlled analgesia (PCA) will be used in the first 24 hours postoperatively. Group B - Patients in group B will have anterior QLB block after the surgery. In addition, patient controlled analgesia (PCA) will be used in the first 24 hours postoperatively.
Investigators
SEZGİN BİLGİN
Medical Doctor
Ondokuz Mayıs University
Eligibility Criteria
Inclusion Criteria
- •Being pregnant for at least 37 weeks
- •Planning an elective cesarean operation
- •Being between the ages of 18-45
Exclusion Criteria
- •American Society of Anesthesiologists (ASA) 3-4 patients with comorbidities (Serious renal, cardiac, hepatic disease)
- •Being operated with spinal anesthesia
- •Obesity (\> 100 kg, BMI\> 35 kg / m2)
- •Contraindication of regional anesthesia (coagulopathy, abnormal international normalized ratio (INR), thrombocytopenia, infection at the injection site)
- •Hypersensitivity to local anesthetics or a history of allergy
- •Patients with a history of opioid use longer than four weeks
- •Patients with psychiatric disorders
- •Patients with anatomic deformity
- •Patients who do not want to participate
Outcomes
Primary Outcomes
Opioid consumption in the first 24 hours after surgery
Time Frame: Postoperative Day 1
Morphine consumption in the first 24 hours will be counted by IV patient controlled analgesia device (PCA). Patients will be able to request opioids via PCA device when the nrs score is above 4.
Secondary Outcomes
- The time of first opioid requirement(Postoperative Day 1)
- Post-operative acute pain(Postoperative Day 1)