Efficacy of Bupivacain Local Infiltration for the Management of Pain During Cesarean Section

Saint Thomas Hospital, Panama202 enrolled

Overview

This study aims to evaluate the effect of local administration of bupivacain in the cesarean section incision for postoperative pain control, using the visual analogue pain scale (VAS) and assessing the need for rescue analgesia after surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

202

Conditions

Pain, Postoperative

Interventions

BupivacainDRUG

20 mL of bupivacaine 0.5% will be infiltrated. 10 mL will be infiltrated in the inferior border and 10 mL in the superior border of the subcutaneous cellular tissue.

PlaceboDRUG

20 mL of Normal Saline Solution will be infiltrated. 10 mL will be infiltrated in the inferior border and 10 mL in the superior border of the subcutaneous cellular tissue.

Eligibility

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion Criteria: * Gestational age ≥ 36 weeks * Elective cesarean section * Transverse segmental caesarean section Pfannenstiel type * Spinal anesthesia * Maternal age 18 to 45 years * Any gravaparity * Patient ASA I or II Exclusion Criteria: * Any patient who does not meet the inclusion criteria. * Emergency cesarean section * History of chronic or neuropathic pain * Patient with cardiopulmonary disease * Known allergies to the drugs used in the study * Patient who does not wish to participate in the study

Locations (1)

Saint Thomas H

Panama City, Provincia de Panamá, Panama

Outcomes

Primary Outcomes

Post operative pain

Level of pain described using a Visual Analogue Scale (VAS) Lower value: 0 (no pain) Higher value: 10 (worst pain possible)

Time frame: 72 hours

Secondary Outcomes

Need for rescue medication

Number of participants that required an additional analgesic for pain control

Time frame: 72 hours

Data from ClinicalTrials.gov

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