Status:
UNKNOWN
Ultrasound-guided TAP Block Vs Local Wound Infiltration for Analgesia After Cesarean Section.
Lead Sponsor:
Ain Shams Maternity Hospital
Conditions:
Postoperative Pain Control
Eligibility:
FEMALE
18-40 years
Brief Summary
Adequate pain control after cesarean delivery is a major concern for both parturients and obstetrician, and it usually comprise a combination of systemic and regional techniques. The transversus abdom...
Detailed Description
The Anaesthesilogist is Senior staff trained on such procedure. * Pre-operative settings * The study subjects will randomly assigned to 3 equal groups (TAP group, infiltration group and narcotics onl...
Eligibility Criteria
Inclusion
- • Patients undergoing elective cesarean section under general anathesia
- Pfannenstiel Skin Incision
- Age between 18 and 40 years old
- BMI between 18 and 35 kg/m2
Exclusion
- • Patient refusal.
- BMI\<18 kg/m2 or\>35 (require different dose of analgesia)
- Height \<150 or \> 180 cm (require different dose of analgesia)
- Patients with any neurological deficit due to neuropathy and pain score affection
- Patients with bleeding disorders which may lead to hematoma
- HTN (Vasculopathy which can lead to hematoma).
- Cardiac disease ( Vasculopathy on anticoagulant which can lead to hematoma)
- DM (decrease systemic and local immunity which can lead to abscess at injection site and due to neuropathy and pain score affection).
- Liver disease (defective clotting factors).
- A history of relevant drug allergy or Hypersensitivity to any of the drugs used in the study due to impair of proper follow up of pain postoperative
- History of recent opioid exposure due to affection on pain score
- Local skin infection due to abscess formation
- Obstetric complications e.g placenta previa and rupture uterus due to extensive tissue damage and dissection
Key Trial Info
Start Date :
January 1 2021
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
September 30 2021
Estimated Enrollment :
150 Patients enrolled
Trial Details
Trial ID
NCT04711096
Start Date
January 1 2021
End Date
September 30 2021
Last Update
January 19 2021
Active Locations (1)
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1
Ain Shams University Maternity Hospital
Cairo, Egypt, 11865