Status:
COMPLETED
Transverse Abdominis Plane (TAP) Block After Cesarean Delivery
Lead Sponsor:
Northwestern University
Conditions:
Postoperative Pain
Pregnancy
Eligibility:
FEMALE
18+ years
Phase:
PHASE4
Brief Summary
Since there have been no published dose-response studies investigating the effective analgesic dose of ropivacaine for use in a TAP block for post-Cesarean delivery analgesia, the investigators propos...
Detailed Description
Cesarean delivery is the most commonly performed surgical procedure in the United States today, with over 1.2 million cases performed in 2005. One of the most important aspects of cesarean delivery is...
Eligibility Criteria
Inclusion
- ASA II-III patient
- \> 18 years of age who is pregnant
- presenting for a cesarean delivery via Pfannenstiel incision who is eligible to receive a spinal anesthetic with 0.75% bupivacaine and fentanyl and whose is not eligible to receive intrathecal morphine due to a BMI \>40 kg/m2.
Exclusion
- \< 18 years of age
- contraindication to placement of a spinal anesthetic
- contraindication to use of non-steroidal anti-inflammatory drugs (NSAIDs)
- patients receiving medical therapies considered to result in tolerance to opioids
- patients with a history of established chronic pain, (e.g. chronic low back pain, fibromyalgia or headaches), defined as requiring regular medical follow-up with pain specialists, as well as recent use (within the year preceding pregnancy) of opioid analgesics as an outpatient
- patients with a history of diabetes mellitus
- patients undergoing a vertical midline skin incision
- patients who are undergoing a cesarean delivery after a failed vaginal trial of labor
- patients who had a prior epidural placed for labor analgesia during the same hospital encounter.
Key Trial Info
Start Date :
January 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 1 2017
Estimated Enrollment :
120 Patients enrolled
Trial Details
Trial ID
NCT01170702
Start Date
January 1 2010
End Date
January 1 2017
Last Update
December 8 2021
Active Locations (1)
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1
Northwestern University
Chicago, Illinois, United States, 60611