The objective of the study is to optimize post-operative analgesia and improve patient satisfaction while reducing total opioid consumption after cesarean section
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
nerve block for abdominal pain. administered once immediately prior to spinal anesthetic standard of care.
100 micrograms (mcg) of morphine administered in the spinal medications one time.
Ropivacaine 0.5% between 20-40 milliliters will be administered once in the ESP block (in the spine) depending on patient weight to keep under the maximum dose.
post-operative opioid analgesic medication
measurement (milligrams)
Time frame: up to 24 hours
change in post-operative pain medication by visual analog scale
Patient administered instrument to indicate pain on a level from 0 to10. (0: no pain. 10: worst imaginable pain)
Time frame: baseline, up to 24 hours
number of minutes to first use of rescue medication
the number of minutes calculated using the kaplan-meier. Calculated using the number of patients that did not need the rescue analgesic at the start of each day post-surgery, and the number of patients who needed the rescue analgesic.
Time frame: up to 24 hours
obstetric quality of recovery scale
responses range from 0-10. zero is strongly agree, strongly disagree.
Time frame: up to 24 hours
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Bupivacaine 0.75% 1.4-1.7 milliliters (10-12 milligrams) spinal medication. administered one time.