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| Name | Class |
|---|---|
| Thammasat University | OTHER |
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This study is a Randomized Control Trial comparing the Erector Spinae Plane Block with intrathecal morphine for post cesarean delivery analgesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intrathecal morphine | Active Comparator |
| |
| Erector Spinae Plane Block | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Erector Spinae Plane Block | Procedure | A nerve block that injects local anesthetic in the Erector Spinae Plane |
|
| Measure | Description | Time Frame |
|---|---|---|
| 24 hour area under the curve pain scores | It will be measured at 3 6 12 18 and 24 hours after the end of the cesarean delivery. This pain will be assessed by asking the patient to go from lying to sitting (or use incentive spirometry) and rated using a linear 10 cm visual analogue scale (VAS). The 24 hour pain VAS area under the curve (AUC) will be calculated using the trapezoid rule. | First 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of quality of recovery after cesarean delivery | At 24 hours the ObsQoR11, a validated instrument to measure the quality of recovery after cesarean delivery, will be administered to the patient | First 24 hours |
| Nausea and vomiting |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Albert Moore, MD | Contact | 5149341934 | 34880 | albert.moore@mcgill.ca |
| Name | Affiliation | Role |
|---|---|---|
| Albert Moore, MD | McGill University Health Centre/Research Institute of the McGill University Health Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Victoria Hospital | Recruiting | Montreal | Quebec | Canada |
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| Intrathecal morphine | Drug | Intrathecal morphine at the time of spinal anesthesia |
|
The incidence of nausea and vomiting will be rated on a 10 cm VAS
| First 24 hours |
| Analgesic usage | The cumulative use of opioids, expressed as morphine equivalents will be recorded at 24 hours. | First 24 hours |
| Pruritus | The incidence of pruritus will be rated on a 10 cm VAS | First 24 hours |
| Incidente of persistent surgical pain | Patients will be contacted by telephone 3 months after the cesarean to assess the presence of chronic pain. This will be done using a modification of the brief pain inventory | Three months |