Study of effect of transversus abdominis plane block for post operative analgesia in abdominal hysterectomy.
试验速览
- 阶段
- 1 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- To assess the degree of analgesia achieved by TAP block
研究概览
简要总结
Total abdominal hysterectomy(TAH) iscommonly performed major surgical procedure. It results in substantial postoperative pain and discomfort.
These patients require multimodal post operativepain treatment regimen.Inadequate control ofpost operative pain leads to unwanted side effects like
discomfort, thromboembolic phenomenon andpulmonary complications
Conventional methods like use of NSAIDSalthough provide satisfactory analgesia are associated with unwanted side effects like gastric
irritation,bleeding. Epidural analgesia isused to reduce pain after surgeries, but it might be contra indicated in some patients.
TAPblock is novel type of truncal nerve block thatinvolves innervation of anterolateral abdominal wall derived from T6 to L1. It provides adequatepost
operative pain relief following various abdominal surgeries. Advantages ofTAP block includes preservation of lower limb motor function,hemodynamic
stability and less invasiveness.
Thisprospective randomised control double blind study is designed to test thehypothesis that TAP block with dexamethasone will provide effective
analgesiaafter TAH in comparison touse of conventional methods like NSAIDS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Stratified randomization
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 35.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- Female
入选标准
- •ASA grade 1 or 2 Under spinal anaesthesia.
排除标准
- •Patient not willing Allergy to Ropivacaine Compromised renal and liver function Uncontrolled DM Severe CVS or Respiratory disease Coagulation disorder BMI more than 35.
结局指标
主要结局
To assess the degree of analgesia achieved by TAP block
时间窗: 24 hrs
次要结局
- To assess duration of post operative analgesia(To assess requirement of rescue analgesics after TAP block within 24 hrs)