Postoperative Analgesic Efficacy of Trans Abdominis Plane Block in Women Undergoing Caesarean Section, a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Post Operative Pain
- Sponsor
- Armed Forces Hospital, Pakistan
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Postoperative opioid consumption
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Transverse abdominis plane (TAP) block is an effective method to manage postoperative pain in patients with midline abdominal wall incisions. It is used frequently in many lower abdominal surgeries however its use after caesarean section is still new, and fewer studies are available. We conducted this study to see the analgesic effect of TAP block after caesarean section.
Detailed Description
The study is being conducted, at Combined Military Hospital Sargodha, Pakistan, to compare the analgesic efficacy of TAP block in providing post-caesarean analgesia with the control group, in terms of mean postoperative use of opioids after caesarean delivery. Sixty patients have been randomly selected using non-probability, consecutive sampling, and applying inclusion and exclusion criteria. The study design is a randomized controlled trial with thirty patients in each group undergoing elective caesareans. All patients will be given spinal anaesthesia with 1.5ml of 0.75% hyperbaric bupivacaine for a caesarean section. Patients in Group A will receive bilateral TAP block with 20ml of 0.25% bupivacaine while 20 ml of saline will be injected in patients of Group B on both sides of midline after caesarean section, in addition to intravenous ketorolac 8hrly. The intensity of pain, total opioid consumption, presence of vomiting, and sedation will be noted until 24 hours after the surgery.
Investigators
arshad khushdil
clinical professor
Armed Forces Hospital, Pakistan
Eligibility Criteria
Inclusion Criteria
- •Elective Caesarean section
- •20yrs to 45yrs
Exclusion Criteria
- •Emergency Surgery
- •known allergy to local anaesthetic
- •severe pre-eclampsia
- •placenta accreta
- •Coagulopathy
- •Hemodynamically unstable
Outcomes
Primary Outcomes
Postoperative opioid consumption
Time Frame: 24 hours post cesarean section
within 24hours after surgery
Secondary Outcomes
- Pain intensity Score(from end of secarean section till 24 post operative hours)
- Duration of First Rescue Analgesia(Within 24hours after surgery)
- Vomiting(Within 24hours after surgery)