Postoperative Analgesia After Caesarean Section Under ALR: TAP Block Versus Catheter Scar Infiltration
The purpose of the multimodal postoperative analgesia is to improve the quality of analgesia and reduce side effects of morphine (nausea, vomiting, sedation, urinary retention, respiratory depression ...). In the case of caesarean sections, the quality of analgesia allows one hand to improve the mother-child relationship and the quality of breastfeeding, the other to reduce the risk of postpartum depression and chronic pain . Two methods of administration of local anesthetics have been proven effective for analgesia of the abdominal wall under umbilical: The Transversus Abdominal Block Plan (TAP Block) and infiltration of the scar continues operating. The TAP block was performed under ultrasound guidance by the anesthesiologist after the intervention in a single injection of local anesthetic in the abdominal wall and has a period of limited and variable. The infiltration continues catheter is placed by the surgeon before closing the wound and allows the infusion of local anesthetics for 48 hours.
The purpose of this study was to compare morphine consumption between both techniques, and the quality of analgesia and side effects of morphine
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
-
-
-
Marseille, Frankrig, 13354
- Rekruttering
- Assistance Publique Hopitaux de Marseille
-
Kontakt:
- aurelie BOURGOIN
- E-mail: aurelie.bourgoin@ap-hm.fr
-
Ledende efterforsker:
- aurelie BOURGOIN
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Woman whose age is 18 years
- Encircled Woman requiring a scheduled(programmed) caesarian, under spinal anesthesia or died combined(organized) spinal anesthesia
- Woman ASA I and II
- Term = 37 LIMITED COMPANIES
- Woman primipare or not
- Woman having signed an informed consent writes and making a commitment to respect the instructions of the protocol
Exclusion Criteria:
- Minor Woman
- Woman presenting a contraindication to the anesthesia périmédullaire: constitutional or acquired disorders(confusions) of the haemostasis, the allergy in the local anesthetics, the infectious context (hypertherm > 38.5 ° C)
- Woman presenting an intolerance or an allergy known about the morphine in the paracetamol or in AIN
- The surgical histories of laparotomy
- The morbid obesity BMI > 35
- Dysgravidies
- Woman not being affiliated to the national insurance scheme
- Woman under legal protection
- Woman not having signed an informed consent
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: TAP block
|
comparaison of two methods of administration for analgesia using the same drugs in the same indication after Caesarean section
|
|
Aktiv komparator: infiltration continues
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Consumption morphinize
Tidsramme: 48 hours
|
the cosumption of morphinize is collected since the first hours of comsumption to the 48 th hours
|
48 hours
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Analgesic efficiency
Tidsramme: 48 hours
|
the Score of pain measured by simple numerical rating scales start the first hours one asks for a complementary analgesia to the 48 th hours
|
48 hours
|
Samarbejdspartnere og efterforskere
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2011-005690-23
- 2011-38 (Anden identifikator: AP HM)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Ropivacaine
-
Northern Jiangsu People's HospitalIkke rekrutterer endnu
-
Sahiwal medical college sahiwalAfsluttetBradykardi | Postoperativ analgesi | Opioidbesparende anæstesi | Hypotension, kontrolleret | StomitilbageførselsprocedurePakistan
-
Huazhong University of Science and TechnologyRekrutteringNerveblok | Ropivacain | Liposomal bupivacain | Total knæantroplastikKina
-
Qilu Hospital of Shandong UniversityRekrutteringAnalgesi | Liposomal bupivacain | Præperitoneal infiltrationKina
-
Ziekenhuis Oost-LimburgRekrutteringAnæstesi | Hallux ValgusBelgien
-
University Health Network, TorontoUkendtSmerter, postoperativCanada
-
Boston Children's HospitalTrukket tilbageSmerter, postoperativ | Hoftedysplasi | Regional anæstesiForenede Stater
-
Pusan National University HospitalAfsluttetHæmodynamik | Epidural anæstesi | Ropivacain koncentrationKorea, Republikken
-
Beijing Tiantan HospitalIkke rekrutterer endnuSøvn | Stellat ganglieblok | Langvarige bevidsthedsforstyrrelserKina