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Cesarean section is one of the most common major surgical procedures performed worldwide,, Post-cesarean analgesia should provide adequate pain control while allowing the mother to remain active to meet the needs of the baby. Insufficient analgesia after cesarean section may be associated with acute postoperative pain, chronic pain, higher opioid consumption, delayed functional capacity, and postpartum depression. Techniques such as neuraxial techniques, oral and intravenous agents, wound infiltration, and behavioral therapy can be used in the treatment of post-cesarean pain pain. In addition, Transversus abdominis plane block (TAP), Quadratus Lumborum block (QLB), Erector Spina block (ESP), Transversalis Fascia plane block (TFP) are used safely under ultrasound guidance. In this study, it was aimed primarily to examine the effects of TFP and ESP blocks on pain scores, and secondarily to evaluate analgesic consumption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group ESP | Active Comparator | Ultrasound-guided erector spinae plane block with 20 ml %0.25 bupivacaine, per side |
|
| Group TFP | Active Comparator | Ultrasound-guided Transversalis Fascia Plane Block block with 20 ml %0.25 bupivacaine, per side |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine 0.25% Injectable Solution | Drug | Ultrasound-guided block with 20 ml %0.25 bupivacaine, per side |
|
| Measure | Description | Time Frame |
|---|---|---|
| Opioid Consumption | Opioid consumption postroperative period | Postoperative first 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Pain Score | Pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain) | Postoperative first 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erzurum Regional Training and Research Hospital | Erzurum | Yakutiye | 25100 | Turkey (Türkiye) | ||
| Erzurum Regional Training and Research Hospital |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Erzurum |
| Yakutiye |
| 25100 |
| Turkey (Türkiye) |
|
| D010335 | Pathologic Processes |
| D000588 |
| Amines |