TAP vs QLB in Patients After Cesarean Delivery
NCT03404908 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 105
Last updated 2023-11-24
Summary
Comparison of two types of analgesia after cesarean section All patients will be anesthetized with spinal technique. Ultrasound-guided transversus abdominis plane or quadratus lumborum block to treat postoperative pain. Postoperative pain will be measured with visual-analog scale (VAS). 1, 2, 6 months after surgery each patient will be called to assess neuropathic pain with Neuropathic Pain Symptom Inventory (NPSI).
Conditions
- Cesarean Section
- Postoperative Pain
Interventions
- PROCEDURE
-
TAP (transversus abdominis plane block)
the ultrasound-guided regional block of abdominal wall muscles to treat acute postoperative pain. Stimuplex Ultra 360 needle will be used and 0.375% ropivacaine administered (0.2 mL/kg).
- PROCEDURE
-
QL (quadratus lumborum block)
the ultrasound-guided regional block of abdominal wall muscles to treat acute pain, similar to transversus abdominis plane block, but with a distribution of local anesthetic towards paravertebral space. Stimuplex Ultra 360 needle will be used and 0.25% bupivacaine administered (0.2 mL/kg).
- DRUG
-
Ropivacaine
In both groups (TAP\&QLB) 0.375% ropivacaine will be given (0.2 mL/kg)
- DEVICE
-
Needle
Ultrasound-guided, Stimuplex ultra 360 needle will be used in the study
- DRUG
-
Intravenous paracetamol will be used (1.0 gram), up to 4 grams per day
- DRUG
-
metamizole
Intravenous metamizole will be used (1.0 gram), up to 4 grams per day
- DRUG
-
Ketoprofen
Intravenous ketoprofen will be used (0.1 gram), up to 200 milligrams per day
- DRUG
-
Morphine
Intravenous morphine (5 mg) will be given when pain exceeds 40 mm in VAS (maximum 2 doses per day)
Sponsors & Collaborators
-
Medical University of Lublin
lead OTHER
Principal Investigators
-
Mirosław Czuczwar, M.D., PhD · Medical University of Lublin
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-07
- Primary Completion
- 2019-01-14
- Completion
- 2019-04-17
Countries
- Poland
Study Locations
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