This randomized controlled clinical trial designed to evaluate the efficacy of transversus abdominis plane (TAP) block, intrathecal morphine, or their combination in postoperative pain relief, as assessed by time to first analgesic request, pain scores, total postoperative analgesic consumption, time of ambulation, complications and hemodynamics following total abdominal hysterectomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
75
The transabdominal plane (TAP) block is a regional anesthesia technique used for postoperative pain management in abdominal wall procedures, providing somatic analgesia to the anterior and lateral abdominal walls
Intrathecal injection of morphine plus 20 mg hyperbaric bupivacaine in spinal anesthesia
intrathecal injection of bupivacaine
Faculty of Medicine, Minia University
Minya, Minya Governorate, Egypt
Time to first analgesic request
Time (in hours) until the patient demand additional analgesia.
Time frame: 24 hours
Total analgesic consumption
Cumulative postoperative analgesic consumption
Time frame: 24 hours
Time to ambulation
Time (in hours) from arrival in the PACU until the patient was able to walk.
Time frame: 24 hours
complications
Incidence of nausea, vomiting, pruritus, respiratory depression, hematoma, infection or hemodynamic instability
Time frame: 24 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.