Transversalis Fascia Plane Block in Caesarean Section Patients
Study Details
Study Description
Brief Summary
Transversalis fascia plane block is a regional anesthesia technique described ten years ago. Its use for many indications has been identified by case reports in the literature. As the investigators have considered that transversalis fascia plane block could be efficacious for providing postoperative analgesia in the cesarean section, the investigators have implemented the application of this blockade into practice at the clinic. The main purpose of this study is to evaluate the analgesic effect of ultrasound-guided bilateral transversalis fascia plane block in cesarean section.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Transversalis fascia plane block The transversalis fascia plane block will be administrated to this group at end of the surgery under general anesthesia. An intravenous patient-controlled analgesia device within tramadol will be given to the patients postoperatively. |
Other: transversalis fascia plane block
patient controlled analgesia devices with tramadol
Other Names:
|
| No Intervention: Control group In this group, patients will receive only multimodal analgesic treatment including patient-controlled analgesia with tramadol. No block will be performed. |
Outcome Measures
Primary Outcome Measures
- 24 hours tramadol consumption [24 hour]
tramadol consumptions for both group will be recorded
Secondary Outcome Measures
- Numeric rating scale for postoperative pain intensity [24 hours]
Changes in Numeric Rating Scale (NRS) at rest and on movement will be recorded at intervals. NRS is a unidimensional measure of pain intensity in adults. The NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").
- Postoperative nausea and vomiting [24 hours]
number of postoperative nasusea and vomiting after surgery will be questioned
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients undergoing cesarean section under general anesthesia ASA I-II
Exclusion Criteria:
- patients undergoing cesarean section under neuraxial anesthesia morbidly obesity ASA III - IV infection of the skin at the site of needle puncture area patients with known allergies to any of the study drugs coagulopathy recent use of analgesic drugs
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Maltepe University faculty of medicine | Istanbul | Turkey | 34090 |
Sponsors and Collaborators
- Maltepe University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Sondekoppam RV, Ip V, Johnston DF, Uppal V, Johnson M, Ganapathy S, Tsui BCH. Ultrasound-guided lateral-medial transmuscular quadratus lumborum block for analgesia following anterior iliac crest bone graft harvesting: a clinical and anatomical study. Can J Anaesth. 2018 Feb;65(2):178-187. doi: 10.1007/s12630-017-1021-y. Epub 2017 Nov 21.
- Tulgar S, Serifsoy TE. Transversalis fascia plane block provides effective postoperative analgesia for cesarean section: New indication for known block. J Clin Anesth. 2018 Aug;48:13-14. doi: 10.1016/j.jclinane.2018.04.006. Epub 2018 Apr 22.
- TFPB in CS