Cesar-Dol: Comparison of Two Types of Pain Relief After Cesarean Delivery
Study Details
Study Description
Brief Summary
Women undergoing elective cesarean delivery, performed under a standard spinal anesthesia, will be randomized to undergo either TAP block or incisional infiltration with local anesthetic, in addition to standard postoperative analgesia comprising regular acetaminophen, nefopam and ketoprofen. Short acting oral morphine will be given as a rescue treatment in case of severe pain.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Transversus Abdominis Plane (TAP) Block Patients will receive a bilateral transversus abdominis plane block |
Other: Transversus Abdominis Plane (TAP) Block
Bilateral injection of levobupivacaine (20 mL, 3.75 mg/mL)
|
Active Comparator: Incisional Infiltration of Local Anesthetic Patients will receive an incisional infiltration with local anesthetic (continuous administration of levobupivacaïne during 48 hours) |
Other: Incisional Infiltration of Local Anesthetic
continuous administration of levobupivacaine (1,25 mg/mL,5 mL/h) during 48 hours.
|
Outcome Measures
Primary Outcome Measures
- severity of postoperative pain [48 postoperative hours]
Secondary Outcome Measures
- delay before the first rescue dose of morphine [48 postoperative hours]
- morphine requirement [48 postoperative hours]
- complication of each loco-regional technique [end of hospitalisation]
- patient's satisfaction [end of hospitalisation]
- length of hospital stay [end of hospitalisation]
- occurrence of a neuropathic postoperative pain [1 month postoperatively]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
scheduled cesarean section performed under spinal anesthesia
-
ASA I or II
-
height above 1,55 m
-
singleton pregnancy
Exclusion Criteria:
- contre indication to a drug used in the study (levobupivacaine, ketoprofen, nefopam)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hôpital Foch | Suresnes | France | 92150 |
Sponsors and Collaborators
- Hopital Foch
Investigators
- Study Chair: Marc Fischler, MD, Hôpital Foch
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2010/15
- 2010-019662-88