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The aim of this study is to compare the incidence of CPSCP in patients receiving QLB quadratus lumborum block and ITM versus control as a primary outcome and associated risk factors that might predispose patients to develop CPSCP.
The aim of this study is to compare the incidence of chronic post cesarean pain in patients receiving quadratus laborum block and and intrathecal morphine versus control as a primary
Study design:
Patients will be randomly allocated to the procedure through closed envelopes and so syringes and medication will be prepared and labelled by anesthetist other than the anesthetist giving the block Patients will be randomly allocated to the procedure through closed envelopes and so syringes and medication will be prepared and labelled by anesthetist other than the anesthetist giving the block Data will be collected regarding the demographic data, gestational stage, parity and number of previous cesarean section, previous abdominal surgeries, and narcotic consumption.
Postoperative pain day 1 and day2 will be followed by anesthetist who is blinded to the applied technique used. Follow up for the subsequent period of observation (2,4and 6 months) will be done by the department secretary who will contact the patients by phone to ask them if there is any "concern" after the operation. If the patient refers to a pain at the surgical site that has been lasting for the past three months a call will be conducted by the anesthetist and a referral schedule will be appointed to the pain clinic consultant for further evaluation
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Q | Active Comparator | QLB group will receive 30 ml 0.125% bupivacaine (Sunnypivacaine by Sunny Pharmaceuticals) for each side |
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| Group M | Active Comparator | Intrathecal morphine 100mcg will be added to bupivacaine 0.5% 15mg and fentanyl 20 µg |
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| Group QM | Active Comparator | Intrathecal morphine 100mcg will be added to bupivacaine 0.5% 15mg and fentanyl 20 µg combined by QLB of 30 ml 0.125%bupivacain |
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| Group C | Placebo Comparator | Control group with intrathecal bupivacaine 0.5% 15mg and fentanyl 20 µg. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quadratus laborum block | Procedure | quadratus lumborum block will be performed using ultrasound machine (Sonosite Portable Ultrasound System, SonoSite, Bothell, Washington, USA). A 5-8 MHZ curved probe will be used with the patient positioned on the lateral side |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue scale | As zero is no pain and 10 is the maximum pain that can be felt | Six months |
| Measure | Description | Time Frame |
|---|---|---|
| narcotic consumption | narcotic consumption | 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
Post operative cesarean section pain
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Menoufia University | Menoufia | Menoufia | 32817 | Egypt |
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randomized control study
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Patients will be randomly allocated to the procedure through closed envelopes and so syringes and medication will be prepared and labelled by anesthetist other than the anesthetist giving the block
| Intrathecal morphine | Drug | Intrathecal morphine 100mcg will be added to bupivacaine 0.5% 15mg and fentanyl 20 µg |
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| intrathecal bupivacaine | Drug | intrathecal bupivacaine 0.5% 15mg and fentanyl |
|