- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05664958
ESP Block for Post Cesarean Analgesia
Erector Spinae Plane Block With Liposomal Bupivacaine for Post Cesarean Delivery Analgesia: A Pilot Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This will be a case control study with a prospective and a retrospective component. Women undergoing elective cesarean delivery under spinal or combined spinal epidural anesthesia will be approached to participate in the prospective open label component of the study. Those women will receive the standard of care intraoperative and postoperative analgesic regimen used at Duke university incorporating 100 mcg intrathecal morphine, intraoperative acetaminophen 975 mg PR and ketorolac 15 mg IV and postoperative scheduled oral acetaminophen 975 mg every 6 hours, scheduled 15 mg IV ketorolac for 3 doses every 6 hours followed by oral ibuprofen 600 mg every 6 hours. At the end of surgery, a bilateral ESPB will be performed under ultrasound guidance using 133 mg liposomal bupivacaine and 20 ml bupivacaine 0.25% per side.
Cases will be matched in a 1:4 ratio by age, race, history of prior cesarean delivery, and insurance status with historical controls who received the same multimodal analgesic regimen but no truncal blocks.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
North Carolina
-
Durham, North Carolina, United States, 27701
- Duke University Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients ≥18 years of age with a term pregnancy of 37 to 42 weeks and American Society of Anesthesiologists Physical Status Classification II or III scheduled to undergo elective CD.
Exclusion Criteria:
- ≥3 prior CDs, pre-pregnancy body mass index >40 kg/m2, planned concurrent surgical procedure other than tubal ligation, chronic pain or chronic opioid therapy, any clinically significant event or condition uncovered during surgery (eg, excessive bleeding, acute sepsis) that might render the patient medically unstable or complicate the patient's postsurgical course, or allergy or contraindication to any component of the multimodal analgesic regimen.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ESP Block
Standard of care analgesic regimen with ESP Block
|
ESP Block with liposomal bupivacaine and immediate release bupivacaine
133 mg liposomal bupivacaine per side.
20 ml bupivacaine 0.25% per side.
|
No Intervention: Control
Standard of care analgesic regimen
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative oxycodone consumption 0- 48 hours after cesarean delivery
Time Frame: 0-48 hours after cesarean delivery
|
Total dose of rescue oxycodone used
|
0-48 hours after cesarean delivery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative opioid consumption at 24 hours
Time Frame: 0-24 hours
|
Total dose of rescue opioids used
|
0-24 hours
|
Time to first postsurgical opioid rescue medication
Time Frame: 0-48 hours
|
Time to first rescue opioid
|
0-48 hours
|
Area under the curve (AUC) of visual analog scale (VAS) pain intensity scores
Time Frame: 0-48 hours
|
Area under the curve (AUC) of visual analog scale (VAS) pain intensity scores
|
0-48 hours
|
Postoperative nausea and vomiting
Time Frame: 0-48 hours
|
Occurrence of nausea and vomiting
|
0-48 hours
|
Need for rescue antiemetics
Time Frame: 0-48 hours
|
Need for medications to treat nausea and vomiting
|
0-48 hours
|
Pruritus
Time Frame: 0-48 hours
|
Occurrence of pruritus
|
0-48 hours
|
Need for rescue antipruritics
Time Frame: 0-48 hours
|
Need for treatment for pruritus
|
0-48 hours
|
Proportion of opioids free patients
Time Frame: 0-48 hours
|
Proportion of patients not receiving any rescue opioids postoperatively.
|
0-48 hours
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Ashraf S Habib, MD, Duke University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00112152
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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