Postoperative Pain Clinical Trial
Official title:
Transversus Abdominis Plane Block vs Continuous Infiltration Wound Catheter for Analgesia After Caesarean Section: a Randomized Trial. (TAP-CAT Study)
Analgesia following surgery associates different intra-venous or oral analgesic drugs and
sometimes opioids. To reduce opioid consumption, loco-regional anaesthesia might be
administered as a complement. In the specific context of caesarean sections, pain control is
mandatory to enable the mother to take care of her offspring and shorten their hospital stay.
This intervention is mainly performed under neuraxial anaesthesia (spinal or epidural),
enabling the injection of morphine in the subdural or epidural space, as part of a multimodal
analgesia regimen.
Studies have evaluated continuous wound infiltration catheters (CIC) and ultrasound-guided
(UGD) transabdominis plane (TAP) block, and both techniques and both techniques reduce
postoperative morphine consumption. Recent studies have compared the two techniques and found
conflicting results. Furthermore, they did not consider caesarean section performed under
epidural analgesia, with a different neuraxial injection site, neither did they compared pain
after postoperative day 2.
Consequently, the aim of this study was to compare resting and standing pain up to
postoperative day 3 after caesarean section performed under spinal or epidural anaesthesia
and receiving either USG-TAP block or CIC. Baseline hypothesis was that the continuous
infiltration provided a better analgesia at day 2.
n/a
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