Relationship Between Analgesia Techniques and Post-cesarean Recovery Quality

Cesarean Section Clinical Trial

Official title:

Evaluation of the Relationship Between Different Postoperative Analgesia Techniques and Post-cesarean Quality of Recovery; Prospective Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05181358
• Other study ID #: ObsQoR-10 PNB
• Status: Completed
• Start date: January 24, 2022
• Est. completion date: December 26, 2022

Study information

• Verified date: January 2023
• Source: Konya Meram State Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The question remains whether the patients in whom USG-guided regional anesthesia and analgesia techniques are applied have a better recovery score than subarachnoid morphine administration, which is considered the gold standard. The primary aim of this study is to evaluate the quality of recovery score using the Obstetric Recovery Quality Score-ObsQoR-10 questionnaire experienced by the patients who underwent elective cesarean section and compare the results of different regional anesthesia techniques with subarachnoid morphine.

Description:

National and international guidelines, hospital protocols, the anesthesiologist's experience, and the patient's decision play a role in selecting the technique used for postoperative analgesia after cesarean section. The quality of recovery score experienced following elective cesarean section in a total of 180 patients over one year (December 31, 2021-2022) who applied subarachnoid morphine, lateral TAP block, posterior-TAP block, QL block, ESP block, and TFD block (30 patients for each technique) will be evaluated with the ObsQoR-10 questionnaire 24 hours after delivery. The regional anesthesia techniques information applied to the patients will be obtained from the patient file. Researchers will not perform any interventional procedure, and any randomization will not be applied. After the data collection process for the study is completed, ObsQoR-10 will be compared statistically. The secondary aims of this study are to compare the cases in terms of postoperative analgesia and antiemetic requirements, first food intake and standing up without support, and patient satisfaction.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 180
• Est. completion date: December 26, 2022
• Est. primary completion date: December 26, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years to 47 Years

Eligibility

Inclusion Criteria:

• Term obstetric patients aged 18-47 years who underwent elective cesarean section under spinal anesthesia and applied regional anesthesia techniques such as lateral TAP, posterior-TAP, QL, ESP, and TFD blocks or subarachnoid morphine.

Exclusion Criteria:

• Patients with psychiatric disorders
• Patients requiring emergency cesarean section.
• Patients with additional obstetric pathology (such as placenta previa, preeclampsia, DM)
• The need for intensive care in the mother or newborn at the end of the birth.
• Patients who have undergone general anesthesia.
• Preterm pregnants

Related Conditions & MeSH terms

• Cesarean Section
• Quality of Recovery

Locations

Country	Name	City	State
Turkey	Betul Kozanhan	Konya

Sponsors (1)

Lead Sponsor	Collaborator
Konya Meram State Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Obstetric Quality of Recovery	Obstetric Quality of Recovery-10 (ObsQoR-10©) Scoring Tool	The first 24 hours postoperatively