Transverse Abdominal Plane Block for Caesarean

Study Overview
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Brief Summary
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Cesarean sectionis a commonly performed major surgical procedure that results in significant postoperative pain. The objective of this study was to evaluate the effectiveness in the management of post-cesarean pain at the CHU Souro Sanou of Bobo-Dioulasso

Official Title
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Efficacy of Transverse Abdominal Plane Block (TAP Block) With Bupivacaine and Dexamethasone for the Management of Post-cesarean Pain at the CHU Sourô Sanou (CHUSS) in Bobo-Dioulasso

Conditions
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Caesarean Section; Pain

Intervention / Treatment
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* Other: TAP block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult parturients (≥ 18 years old) awaiting caesarean section under spinal anesthesia ASAI, ASAII Exclusion Criteria: Lack of informed consent, Parturients with cognitive disorders, Parturients with notion of chronic pain, Allergy to local anesthetics, Morphine allergy Parturients not understanding pain assessment scores

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Patients admitted for caesarean under spinal anesthesia were randomized according to the sealed envelope method into two groups. Group 1 received 100 µg of morphine intrathecally at induction and group 2 a bilateral TAP block at the end of cesarean section with 20 ml of bupivacaine 0.25% and dexamethasone 4 mg in the same syringe on each side.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: group 1<br>will receive at induction of spinal anesthesia 100 µg of morphine | |
| Experimental: group 2<br>No morphine in spinal anesthesia but will receive a bilateral TAP block with 20 ml of Bupivacaine 0.25% and dexamethasone 4 mg in the same syringe on each side | Other: TAP block<br>* TAP block under ultrasound<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of mild pain on mobilization in the first 24 postoperative hours | The numerical pain score after moving from a lying position to a sitting position | Hours 24 postoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of mild pain at rest in the first 24 postoperative hours | The numerical pain score at rest | Hours 24 postoperative | 
| Proportion of mild pain on mobilization in the first 48 postoperative hours | The numerical pain score after moving from a lying position to a sitting position | Hours 48 postoperative | 
| Proportion of nausea-vomiting postoperative during the first 48 hours | At each passage of the nurses | Hours 48 postoperative | 
| Proportion of maternal satisfaction during the first 48 hours postoperatively | The simple numerical score | Hours 48 postoperative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Caesarean, TAP-block, Postoperative pain