Informations générales (source: ClinicalTrials.gov)
Postoperative Analgesia After Caesarean Section Under ALR: TAP Block Versus Catheter Scar Infiltration
Interventional
Phase 3
Assistance Publique Hopitaux De Marseille (Voir sur ClinicalTrials)
février 2012
février 2015
29 juin 2024
The purpose of the multimodal postoperative analgesia is to improve the quality of
analgesia and reduce side effects of morphine (nausea, vomiting, sedation, urinary
retention, respiratory depression ...). In the case of caesarean sections, the quality of
analgesia allows one hand to improve the mother-child relationship and the quality of
breastfeeding, the other to reduce the risk of postpartum depression and chronic pain .
Two methods of administration of local anesthetics have been proven effective for
analgesia of the abdominal wall under umbilical: The Transversus Abdominal Block Plan
(TAP Block) and infiltration of the scar continues operating. The TAP block was performed
under ultrasound guidance by the anesthesiologist after the intervention in a single
injection of local anesthetic in the abdominal wall and has a period of limited and
variable. The infiltration continues catheter is placed by the surgeon before closing the
wound and allows the infusion of local anesthetics for 48 hours.
The purpose of this study was to compare morphine consumption between both techniques,
and the quality of analgesia and side effects of morphine
Etablissements
| Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| Assistance Publique Hopitaux de Marseille - 13354 - Marseille - France | aurelie BOURGOIN | Contact (sur clinicalTrials) | |||
Critères
Femme
Inclusion Criteria:
- Woman whose age is 18 years
- Encircled Woman requiring a scheduled(programmed) caesarian, under spinal anesthesia
or died combined(organized) spinal anesthesia
- Woman ASA I and II
- Term = 37 LIMITED COMPANIES
- Woman primipare or not
- Woman having signed an informed consent writes and making a commitment to respect
the instructions of the protocol
- Woman whose age is 18 years
- Encircled Woman requiring a scheduled(programmed) caesarian, under spinal anesthesia
or died combined(organized) spinal anesthesia
- Woman ASA I and II
- Term = 37 LIMITED COMPANIES
- Woman primipare or not
- Woman having signed an informed consent writes and making a commitment to respect
the instructions of the protocol
- Minor Woman
- Woman presenting a contraindication to the anesthesia périmédullaire: constitutional
or acquired disorders(confusions) of the haemostasis, the allergy in the local
anesthetics, the infectious context (hypertherm > 38.5 ° C)
- Woman presenting an intolerance or an allergy known about the morphine in the
paracetamol or in AIN
- The surgical histories of laparotomy
- The morbid obesity BMI > 35
- Dysgravidies
- Woman not being affiliated to the national insurance scheme
- Woman under legal protection
- Woman not having signed an informed consent