the purpose of this study is to compare opioid consumption in morphine equivalents between the groups that received postoperative analgesia with intrathecal morphine versus US guided QL blocks versus US guided QL catheters
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
3
Spinal anesthesia with ITM + US guided QLB single shot sham block + QLB catheters with no continuous infusion
Spinal anesthesia without ITM + US guided QLB single shot with bupivacaine hydrochloride + QLB catheters with no continuous infusion
Spinal anesthesia without ITM + US guided QLB single shot with bupivacaine hydrochloride + QLB catheters continuously infusing 0.2% ropivacaine hydrochloride
Memorial Hermann Hospital TMC
Houston, Texas, United States
The University of Texas Health Science Center at Houston
Houston, Texas, United States
Total Narcotic Consumption in Morphine Equivalents (in Milligrams)
Total narcotic consumption in morphine equivalents (in milligrams) for the first 72 hours after surgery was calculated.
Time frame: upto 72 hours post surgery
Total Narcotic Consumption in Morphine Equivalents (in Milligrams)
Total narcotic consumption in morphine equivalents (in milligrams) for 12, 24 and 48 hours after surgery was calculated.
Time frame: 12,24,48 hours post surgery
Static Pain as Measured by the Numerical Pain Score (NPS)
To assess static pain scores, NPS will be recorded while the participant is supine in bed. NPS is a 11-point scale with a higher number indicating more severe pain (total score ranges from 0 to 10).
Time frame: 6, 12, 24, 48 and 72 hours post surgery
Severity of Pruritus as Assessed by a Scale
This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10.
Time frame: 24, 48 and 72 hours post surgery
Severity of Nausea as Assessed by a Scale
This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10.
Time frame: 24, 48 and 72 hours post surgery
Severity of Vomiting as Assessed by a Scale
This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10.
Time frame: 24, 48 and 72 hours post surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Severity of Sedation as Assessed by a Scale
This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10.
Time frame: 24, 48 and 72 hours post surgery
Patient Satisfaction as Assessed by Likert Scale
Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn. Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1).
Time frame: 24 hours post surgery
Dynamic Pain as Measured by the Numerical Pain Score (NPS)
To assess dynamic pain scores, the participant be asked to sit up in bed from supine to sitting, and the NPS will then be recorded. If the participant is ambulating, the dynamic pain score during ambulation (rather during sitting) will be assessed. NPS is a 11-point scale with a higher number indicating more severe pain (total score ranges from 0 to 10).
Time frame: 6, 12, 24, 48 and 72 hours post surgery
Patient Satisfaction as Assessed by Likert Scale
Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn. Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1).
Time frame: 48 hours post surgery
Patient Satisfaction as Assessed by Likert Scale
Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn. Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1).
Time frame: 72 hours post surgery
Time to First Analgesic Request
Time frame: 72 hours post surgery