Wound Infusion vs Spinal Morphine for Post-caesarean Analgesia

Is Continuous Wound Infusion With Ropivacaine Better Than Intrathecal Morphine for Post-caesarean Analgesia? A Prospective, Randomized, Controlled, Double Blinded Study

The aim of this study is to compare effective analgesia with continuous wound infiltration of ropivacaine through multi-holed catheter or with morphine 100 mcg added intrathecally to spinal anesthesia, after elective Caesarean delivery.

Double blind, 3 groups

• Control group: Rachi 0,1 ml saline, Infusion 300ml saline
• Group rachi-morphine: 0,1ml =100µg morphine/300ml saline
• Group KT: 0,1 ml saline/300 ml naropin 0.2%

Inclusion Criteria:

• Patients aged 18 years and more, ASA 1 or ASA 2, pregnant with at least 34 weeks of gestational age, admitted for a planned caesarian with a Pfannenstiel incision and having signed the informed consent form.

Exclusion Criteria:

• Refusal of the patient or contra-indication to locoregional anesthesia
• Allergy to the products used
• ASA 3
• ASA 4
• Sleep apnea syndrome and/or obesity (BMI > 35)
• Size inferior to 155cm
• existence of a language barrier