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In the management of pain after Caesarean section (C/S), opioid or nonsteroidal anti-inflammatory parenteral drugs are applied. These drugs are insufficient in some cases and may cause pain attacks during the day. Higher doses and repeated drug applications or combined drug administration may cause drug side effects and interactions. Alternative applications to provide analgesia include subcutaneous and intracutaneous local anesthetic application to the wound site. Although the effectiveness of these applications has been tested in individuals with different clinical characteristics and has been shown to be largely more successful, they have not been sufficiently introduced into routine practice. There is a need to review the pain methods suggested in the literature and develop new solutions that can be applied more optimally, improve the patient's pain management in the postoperative period, and increase their quality of life and satisfaction.
It aims to evaluate the success of subcutaneous and intracutaneous local anesthesia applications compared to traditional applications, and to find the most optimal management.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subcutaneous local anesthesia group | who received subcutaneous local anesthesia at the end of C/S surgery |
| |
| Intracutaneous local anesthesia group | who received intracutaneous local anesthesia at the end of C/S surgery |
| |
| Parenteral analgesia group | who received parenteral analgesia after C/S surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| neural therapy | Drug | This prospective study will be conducted with mothers who underwent general anesthesia for labor or elective cesarean delivery and local anesthesia for postoperative pain management during a one-year period following ethical approval. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue scale | 1=no pain, 10=worst pain | 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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Women aged 19-45 who underwent a caesarean section under general anesthesia
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| emine yılmaz güler | Contact | 905054525261 | dr.emine.yilmaz@gmail.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34014182 | Result | Reed SE, Tan HS, Fuller ME, Krishnamoorthy V, Ohnuma T, Raghunathan K, Habib AS. Analgesia After Cesarean Delivery in the United States 2008-2018: A Retrospective Cohort Study. Anesth Analg. 2021 Dec 1;133(6):1550-1558. doi: 10.1213/ANE.0000000000005587. | |
| 33370462 | Result | Roofthooft E, Joshi GP, Rawal N, Van de Velde M; PROSPECT Working Group* of the European Society of Regional Anaesthesia and Pain Therapy and supported by the Obstetric Anaesthetists' Association. PROSPECT guideline for elective caesarean section: updated systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia. 2021 May;76(5):665-680. doi: 10.1111/anae.15339. Epub 2020 Dec 28. |
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| ID | Term |
|---|---|
| D000772 | Anesthesia, Local |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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