Post-cesarean Pain Control Via Continuous Infusion of Ropivacain et Diclogenac Into the Wound Versus Intathecal Morphine
Study Details
Study Description
Brief Summary
The goal is to compare the quality of post-cesarean analgesia, the side effects and the incidence of residual scar pain obtained with intrathecal morphine (reference treatment) or with a continuous intra-wound solution including both ropivacain and diclofenac (experimental treatment).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Reference Intrathécale morphine is used for post-cesarean pain control |
Drug: Reference
Intrathécale morphine is used for post-cesarean pain control
|
Experimental: Experimental A solution including both ropivacain and diclofenac continuously delivered to the wound is used for post-cesarean pain control |
Drug: Experimental
A solution including both ropivacain and diclofenac continuously delivered to the wound is used for post-cesarean pain control
|
Outcome Measures
Primary Outcome Measures
- Primary VAS score [36 hours post delivery]
The patient is asked to evaluate cesarean-section related pain using a visual analog scale (VAS) score for pain on a scale of 1-10 in a sitting position.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
single, normally progressing pregancy
-
term > 36 weeks amenorrhea
-
BMI between 20 and 25 kg/m^2 before pregnancy
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height between 55 and 90 kg
-
cesarean section by Joel-Cohen or Pfannenstiel techniques
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patient has signed consent
-
patient has social security coverage
Exclusion Criteria:
-
Multiple pregnancy
-
pathological pregnancy: hypertension (>140/90 mmHg found during the pregnancy), pre-eclampsia, gestational diabetes
-
term < 36 weeks amenorrhea
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non-pregnancy related maternal pathology (insufficiency)
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obesity (BMI > 25 kg/m^2 before pregnancy)
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height < 155 cm or > 180 cm
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weight < 55 kg or > 90 kg
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patient refuses to sign consent
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surgical technique other than Joel-Cohen or Pfannenstiel
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hepatic insufficiency (prothrombin < 60%)
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contra-indications for rachianesthesia: infection, hemostasis problems (platelets < 80.109/L, prothrombin < 60%, TCA > 40s)
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allergy to local anesthestics
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patient is participating in another study, or has participated in another study within the last 6 months
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patient is under any type of guardianship
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Centre Hospitalier Universitaire de Nīmes
Investigators
- Principal Investigator: Antoinie Guy Aya, MD, Centre Hospitalier Universitaire de Nîmes
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AOI/2008/GA-01
- 2008-004643-11