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The purpose of this study is to investigate the efficacy of three different modalities of post-operative pain control in parturient with opioid use disorders. The investigators aim to determine whether the different approach utilized show better outcomes with pain management and if there are any association with reduction of symptoms of anxiety, depression, and overall well-being.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transverse abdominal Plane(TAP) Block with long acting Exparel | Active Comparator | A subset of participants (n=15) will be divided into three different arms: A.) Postoperative Epidural infusion for 24-36hrs B.) Hydromorphone Patient Controlled Analgesia (PCA) with Preservative free Morphine via epidural for 36hrs C.) Transverse abdominal Plane(TAP) Block with long acting Exparel. |
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| Postoperative Epidural infusion for 24-36hrs | Active Comparator | A subset of participants (n=15) will be divided into three different arms: A.) Postoperative Epidural infusion for 24-36hrs B.) Hydromorphone Patient Controlled Analgesia (PCA) with Preservative free Morphine via epidural for 36hrs C.) Transverse abdominal Plane(TAP) Block with long acting Exparel. |
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| Hydromorphone Patient Controlled Analgesia (PCA),Preservative free Morphine via epidural for 36hrs | Active Comparator | A subset of participants (n=15) will be divided into three different arms: A.) Postoperative Epidural infusion for 24-36hrs B.) Hydromorphone Patient Controlled Analgesia (PCA) with Preservative free Morphine via epidural for 36hrs C.) Transverse abdominal Plane(TAP) Block with long acting Exparel. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Regional Anesthesia | Drug | Transverse abdominal Plane(TAP) Block with long acting Exparel placed by a regional anesthesiologist. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with Change in pain assessment scores from baseline post surgery | Number of participants with significant change in pain assessment scores and any association with reduction of symptoms of anxiety, depression, and overall well-being. | immediately after the study intervention and up to post op day 2 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Meredith Albrecht, MD, PhD | Contact | 414-805-8700 | maalbrecht@mcw.edu | |
| Christopher Fadumiye, MD | Contact | 414-805-8700 | cfadumiye@mcw.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Froedtert Hospital Milwaukee, Wisconsin 53226 | Recruiting | Milwaukee | Wisconsin | 53226 | United States |
De-identified patient data, statistical analysis and conclusions.
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| Hydromorphone Patient Controlled Analgelsic | Drug | This group will be administered epidural PCA as a modality for pain control post cesarian section |
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| Epidural local anesthetic infusion | Procedure | Epidural group will receive pain control via a local anesthetic intermediate bolus infusion |
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| Froedtert Hospital | Not yet recruiting | Milwaukee | Wisconsin | 53226 | United States |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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