Pre-emptive Paracetamol for Prevention of Intraoperative Shoulder Tip Pain

Pre-emptive Intravenous Paracetamol for Prevention of Intraoperative Shoulder Tip Pain in Patients Undergoing Caesarean Section: A Randomized Double Blind Controlled Clinical Trial.

the aim is to determine the efficacy of Paracetamol in reducing the incidence and severity of intraoperative shoulder pain in patients undergoing cesarean section.

pregnant females scheduled for cesarean section under spinal anesthesia will be enrolled . two groups of patents will be recruited . the study group will receive paracetamol pre operative .

Inclusion Criteria:

• Healthy pregnant women (ASA II) having singleton pregnancy at term (≤ 37 weeks of gestation) aged between 18 and 40 years.

Exclusion Criteria:

• Patients having allergy to study drug,
• gestational diabetes
• cardiovascular or biliary disorders
• asthma
• renal impairment
• preeclampsia
• any chronic pain condition or trauma in the shoulder, forearms or upper limbs
• patients with any contraindication to SA were excluded from the study.