Analgesia outcome of surgically guided direct vision Transversus Abdominis Plane TAP block v standard surgical infiltration of Pfannenstiel wound during elective LUCS under Neuraxial Blockade ( NAB) anesthesia - a randomised controlled trial involving 80 participants

Redland Hospital0 个研究点目标入组 80 人开始时间: 2016年9月8日最近更新: 2020年1月13日

适应症

试验速览

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•Pregnant awaiting elective Lower Uterine caesarean Section (LUCS) delivery via the Pfannenstiel incision, under Neuraxial Blockade (NAB)

•Non- elective Lower Uterine caesarean Section (LUCS) patients as obtaining informed consent and accurate follow up and would be problematic.
•Those with a ASA status of 3 or greater have been excluded as they are likely to require a more flexible and a less protocolised anaesthetic and analgesic management for their treatment regime.
•Opiate tolerance – defined as those patients already on opiate medication or those with a history of opiate addiction
•Perioperative medications that differ or are expected to differ from the study protocol
•Those who receive a regional anaesthetic at the discretion of their treating anaesthetist that differs from the study protocol
•or obstetrician who considers or requests a uterotonic agent that differs from the study protocol
•postoperative analgesia regimen
•unable to tolerate NSAIDS, Paracetamol or endone/ Targin
•Failure of the NAB
•Bleeding diathesis ( e.g. vWF ): at risk of haematoma at injection or operative site
•Allergy to study medications specifically: amide Local anaesthetic agents
•Inability to independently understand the nature of the consent or not be able to respond appropriately and independently to the post operative data collection.
•Peri-operative complications
•Post Partum Haemorrhage/Uterine atony requiring further medical or surgical intervention: postoperative drain(s) required
•The participant withdraws or declines to participate in this study

发起方