Local Anesthetic Injection Into Both Angles of the Rectus Sheath Incision

Overview

Local anesthetic will be injected into both angles of the rectus sheath incision in an attempt to block sensory nerves in this area that cause the sensation of pain from lscs wound.

Full Title of Study: “Efficacy of Local Anesthetic Injection Into Both Angles of the Rectus Sheath Incision for Postoperative Cesarean Delivery Analgesia.”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Triple (Participant, Investigator, Outcomes Assessor)
  • Study Primary Completion Date: November 2015

Interventions

  • Drug: 10ml of bupivacaine 0.5%
    • This is a local anesthetic that will be used to block the ilioinguinal nerve to alleviate pain at the wound site after lscs
  • Drug: Placebo
    • 10 ml of saline will be injected as a placebo and the investigator and the patient and the data assessor are all blinded to what the patients received.

Arms, Groups and Cohorts

  • Experimental: bupivacaine group
    • This is the group of patients that will receive 10ml of bupivacaine 0.5% injection in both angles of the rectus sheath incision
  • Placebo Comparator: saline group
    • This group will receive saline injections as placebo into both angles of the rectus sheath incision
  • Experimental: bupivacaine and saline group
    • This group will receive saline injection in one angle and 10ml of bupivacaine 0.5% injection in the opposite angle.

Clinical Trial Outcome Measures

Primary Measures

  • Pain assessment during rest and ambulation by visual analogue scale
    • Time Frame: for 24 hours after lscs

Participating in This Clinical Trial

Inclusion Criteria

  • patients booked for lscs – primisection – singleton pregnancy Exclusion Criteria:

  • emergency cesarean section – bleeding tendency – hypersensitivity to local anesthetic

Gender Eligibility: Female

Minimum Age: 20 Years

Maximum Age: 40 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Ain Shams Maternity Hospital
  • Provider of Information About this Clinical Study
    • Principal Investigator: dr mohammed elsafty, Dr Mohammed Elsafty – Ain Shams Maternity Hospital

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