ESPB vs Intrathecal Morphine for Assessements of Quality of Recovery After Cesarean Section
Comparison of Erector Spinae Plane Block and Intrathecal Morphine for Assessements of Quality of Recovery After Caesarean Section: a Randomized Controlled Trial
AUSL Romagna Rimini
52 participants
Jun 18, 2025
INTERVENTIONAL
Conditions
Summary
Cesarean section is a surgical procedure that involves significant pain, which is managed through a multimodal pharmacological approach.The primary objective of the study is to evaluate the quality of hospitalization after cesarean section using the QRo11 questionnaire in patients treated with a postoperative Erector Spinae Plane Block compared to those treated with intrathecal morphine.
Eligibility
Inclusion Criteria3
- Adult women aged 18-45 years
- ASA physical status II-III
- Full-term singleton pregnancy scheduled for elective cesarean section under spinal anesthesia
Exclusion Criteria11
- ASA ≥ IV
- Coagulation disorders
- Emergency surgery
- Preoperative infection (including infection at the ESPB puncture site)
- Any contraindication to neuraxial analgesia
- History of chronic pain
- Use of opioids
- Allergy to local anesthetics
- Hypersensitivity to any drug used in the study
- Inability to understand or use verbal pain assessment scales
- Refusal to participate in the study
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Interventions
Ultrasound-guided Erector Spinae Plane Block performed at the T9 level with 0,375%, ropivacaine 20 mL administered bilaterally at the end of surgery for postoperative analgesia following cesarean section.
Intrathecal administration of 100 mcg of morphine in combination with a local anesthetic was performed at the time of spinal anesthesia for cesarean section.
Locations(1)
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NCT07202416