Quality of Postoperative Analgesia and Functional Recovery After Elective Cesarean Delivery
Quality of Postoperative Analgesia and Functional Recovery After Elective Cesarean Delivery Adding Different Doses of Intrathecal Fentanyl to Spinal Anesthesia With Bupivacaine and Intrathecal Morphine. A Single Center, Randomized, Multiple Blinded, Controlled Trial
Ente Ospedaliero Cantonale, Bellinzona
63 participants
Jun 12, 2024
INTERVENTIONAL
Conditions
Summary
Based on randomization, patients will receive a mixture for spinal anesthesia and will be followed in the following hours for the various outcomes and for functional recovery
Eligibility
Inclusion Criteria5
- patients over 18 year of age
- height over 160 cm
- American Society Anesthesiologists physical status I and II
- term singleton parturients
- scheduled for elective cesarean delivery during spinal anesthesia at Ospedale Regionale Bellinzona Valli
Exclusion Criteria6
- patients with inability to consent
- patient refusal
- contraindication to spinal anesthesia (eg, hemodynamic instability, infection at the surgery site, and neurologic defects such as transverse myelitis)
- emergency cesarean delivery
- preeclampsia/eclampsia
- allergy to drugs used in the protocol
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Interventions
Spinal anesthesia with a 27- gauge Whitacre needle at the L2-3 or L3-4 intervertebral space with the patient in sitting position with hyperbaric bupivacaine 0,5 %12 mg, 100 mcg of morphine, and no fentanyl
Spinal anesthesia with a 27- gauge Whitacre needle at the L2-3 or L3-4 intervertebral space with the patient in sitting position with hyperbaric bupivacaine 0,5 %12 mg, 100 mcg of morphine, and 10 mcg of of fentanyl
Spinal anesthesia with a 27- gauge Whitacre needle at the L2-3 or L3-4 intervertebral space with the patient in sitting position with hyperbaric bupivacaine 0,5 %12 mg, 100 mcg of morphine, and 20 mcg of fentanyl
Locations(1)
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NCT06355271