Analgesic Efficacy of Different Nerve Blocks in Postoperative Cesarean Section
Analgesic Efficacy of Erector Spinae Block , Quadratus Lumborum Block, and Intrathecal Morphine for Postoperative Pain Relief After Cesarean Section: A Randomized Study
Assiut University
120 participants
Oct 15, 2023
INTERVENTIONAL
Conditions
Summary
comparing analgesic efficacy of different nerve blocks on post operative cesarean sections.
Eligibility
Inclusion Criteria4
- -40 years old
- more or equal 37 weeks of gestation
- ASA 1,2
- Elective cesarean delivery
Exclusion Criteria10
- Patient refusal
- inability to cooperate with or understand the study
- local infection.
- bleeding disorder
- known anaphylaxis to any drug used in the trial
- ASA physical status more than 2
- emergency operations
- chronic opioid use (opioid use in the past 3 months)
- Neurologic deficit or disorder
- contraindication to regional anesthesia.
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Interventions
intrathecal morphine (150 μg) in addition to standard spinal anesthetic drugs(10-12 mg 0.5% hyperbaric bupivacaine)
intrathecal morphine (150 μg) in addition to standard spinal anesthetic drugs (10-12 mg 0.5% hyperbaric bupivacaine) + bilateral QL block by injecting 20 ml of 0.25% isobaric bupivacaine bolus with 4 mg ) dexamethasone as an adjuvant
intrathecal morphine (150 μg) in addition to standard spinal anesthetic drugs (10-12 mg 0.5% hyperbaric bupivacaine) + bilateral ESP block by injecting 20 ml of 0.25% isobaric bupivacaine bolus with 4 mg ) dexamethasone as an adjuvant
Locations(1)
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NCT06088420