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
研究概览
研究类型
注册 (预期的)
阶段
- 第三阶段
联系人和位置
学习地点
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-
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Marseille、法国、13354
- 招聘中
- Assistance Publique Hôpitaux de Marseille
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接触：
- aurelie BOURGOIN
- 邮箱：aurelie.bourgoin@ap-hm.fr
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首席研究员：
- aurelie BOURGOIN
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：TAP block
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comparaison of two methods of administration for analgesia using the same drugs in the same indication after Caesarean section
|
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有源比较器：infiltration continues
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Consumption morphinize
大体时间：48 hours
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the cosumption of morphinize is collected since the first hours of comsumption to the 48 th hours
|
48 hours
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Analgesic efficiency
大体时间：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
|
合作者和调查者
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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