Postoperative Pain Clinical Trial
Official title:
Does Avoiding Inferior Rectus Sheath Dissection Lead to Decreased Operative Blood Loss and Operating Time Without Increasing Delivery of Fetus in Primary Cesarean Delivery
Verified date | December 2021 |
Source | University Hospitals Cleveland Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to evaluate the effect of non-dissecting the inferior rectus sheath during primary cesarean delivery on post-operative hemoglobin and post-operative pain control as measured by VAS score and opioid anesthesia use in the first 72 hours post-op.
Status | Terminated |
Enrollment | 81 |
Est. completion date | September 1, 2021 |
Est. primary completion date | September 1, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - - Patients must be 18 years or older as well as willing and able to provide informed consent - Patients undergoing a scheduled or non-scheduled, non-urgent or non-scheduled urgent (delivery within 30 minutes of decision for surgical delivery) Cesarean delivery between >35 weeks gestational age, - Patients who are expected to receive a Pfannenstiel incision - Patients with viable singleton intra-uterine pregnancy - Patients with fetus in cephalic presentation Exclusion Criteria: - - Patients younger than 18 years, - Patients unable or unwilling to provide informed consent, - Patients who are illiterate, - Patients who are non-English speaking or reading, - Patients who are medical or nursing students at a school affiliated with University Hospital - Multi-fetal gestations (>1 intrauterine pregnancy), - Patients with a BMI >50 kg/m^2 - Patients with a suspected placenta accreta or placenta previa - patients with 2 prior cesarean deliveries - Patient undergoing emergent cesarean delivery (delivery within 10 minutes of decision for surgical delivery) - Patients who will require a vertical skin incision, Maylard or Cherney incisions - Patients with a history of significant pelvic adhesive disease, as determined by prior operative reports - Patients with fetus in non-cephalic presentation - Patients with pre-gestational or gestational diabetes mellitus - Patients with estimated fetal weight >5000 grams - Patients with estimated fetal weight <10% for gestational age - Patients with who require general anesthetic - Patients who are on chronic pain medication - Patients with a history of drug abuse |
Country | Name | City | State |
---|---|---|---|
United States | UH Cleveland Medical Center | Cleveland | Ohio |
Lead Sponsor | Collaborator |
---|---|
University Hospitals Cleveland Medical Center | Martin Wieczorek |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | post-operative hemoglobin | assessment of drop in hemoglobin post-operatively compared to pre-operative values | 24 hours | |
Secondary | assessment of Visual Analog Scale (VAS) scores in first 72 hours | assessment of VAS scores and | 72 hours | |
Secondary | Assessment of total narcotic use, expressed as morphine equivalents | 72 hours |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04633850 -
Implementation of Adjuvants in Intercostal Nerve Blockades for Thoracoscopic Surgery in Pulmonary Cancer Patients
|
||
Recruiting |
NCT03181620 -
Sedation Administration Timing: Intermittent Dosing Reduces Time to Extubation
|
N/A | |
Completed |
NCT04579354 -
Virtual Reality (VR) Tour to Reduce Preoperative Anxiety Before Anaesthesia
|
N/A | |
Recruiting |
NCT06007378 -
Optimizing Postoperative Pain Control After Laparoscopic Colorectal Surgery
|
N/A | |
Recruiting |
NCT05943015 -
Analgesic Efficacy of Quadratus Lumborum, Paravertebral Blocks
|
N/A | |
Completed |
NCT04544228 -
Ketamine or Neostigmine for Serratus Anterior Plane Block in Modified Radical Mastectomy
|
N/A | |
Completed |
NCT03678168 -
A Comparison Between Conventional Throat Packs and Pharyngeal Placement of Tampons in Rhinology Surgeries
|
N/A | |
Completed |
NCT03286543 -
Electrical Stimulation for the Treatment of Pain Following Total Knee Arthroplasty Using the SPRINT Beta System
|
N/A | |
Completed |
NCT03663478 -
Continuous TQL Block for Elective Cesarean Section
|
Phase 4 | |
Completed |
NCT04176822 -
Designing Animated Movie for Preoperative Period
|
N/A | |
Completed |
NCT05170477 -
Influence of Apical Patency Concept Upon Postoperative Pain After Root Canal Treatment
|
N/A | |
Not yet recruiting |
NCT04561856 -
Fascia Iliaca Block Supplemented With Perineural Vs Intravenous Dexamethasone
|
Phase 4 | |
Completed |
NCT06425601 -
A Comparison of Silicone Versus Polyvinylchloride (PVC) Drains Following VATS Lobectomy
|
N/A | |
Completed |
NCT03612947 -
TAP Block in Laparoscopic Cholecystectomy.
|
Phase 2 | |
Completed |
NCT05974501 -
Pre vs Post Block in Total Knee Arthroplasty (TKA)
|
Phase 4 | |
Completed |
NCT05995912 -
Efficacy and Safety of Etoricoxib-tramadol Tablet in Acute Postoperative Pain
|
Phase 2 | |
Completed |
NCT04571515 -
Dose-Response Study of MR-107A-01 in The Treatment of Post-Surgical Dental Pain
|
Phase 2 | |
Active, not recruiting |
NCT04190355 -
The Effect of Irrigant Types Used During Endodontic Treatment on Postoperative Pain
|
N/A | |
Recruiting |
NCT05145153 -
Incidence of Chronic Pain After Thoracic Surgery
|
||
Recruiting |
NCT03697278 -
Monitoring Postoperative Patient-controlled Analgesia (PCA)
|
N/A |