Title
Comparison Levobupivacaine and Ropivacaine for TAP-block After Caesarean Section
The Double-blind, Randomized Controlled Trial: Comparison of Levobupivacaine and Ropivacaine for Postoperative Analgesia TAP-block After Caesarean Section
Phase
N/ALead Sponsor
Tver Regional Perinatal CenterStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Pain, PostoperativeIntervention/Treatment
Levobupivacaine Solution Ropivacaine SolutionStudy Participants
50Randomized, double-blind, controlled trial: a comparison of Levobupivacaine and Ropivacaine for postoperative analgesia using TAP-block
Objectives:
VAS score during the first 12 hours
Determine which drug is more effective for postoperative analgesia in the first 12 hours after surgery
Side effects
For TAP-block was used Hirokain® (Levobupivacaine) . Injectable solution 7.5 mg / ml; ampoule polypropylene 10 ml, a pack of cardboard 10; No. ЛП-003106, 2015-07-21 to 2020-07-21 from EbbVi Ltd. (Russia); manufacturer: Kurida AS (Norway); Packer: AbbVi S.r.l. (Italy), or Ropivacaine Kabi (Ropivacaine Kabi) (Ropivacaine) Solution for injection 7.5 mg / ml; ampoule polypropylene 1 10 ml, a pack of cardboard 5; EAN code: 4607085481524; No. ЛП-002897, 2015-03-04 to 2020-03-04 from Fresenius Kabi Deutschland GmbH (Germany); manufacturer: Fresenius Kabi Norge (Norway).
Both preparations were diluted to a volume of 50 ml, at a concentration of 3 mg / ml.
It was performed by TAP-block in-plain with a 22G needle Quincke, on both sides, and 25 ml on each side was injected.
The pain syndrome was assessed with admission, and every 2 hours during the first 12 hours after the operation, using a digital scale on the VAS.
All patients received NSAIDs (Ketorol 3 mg IV every 6 hours from admission)
Additionally:
Paracetamol IV infusion 100 ml with VAS = 4 score, lockout time 6 hours Tramadol 5% - 2 ml IM with VAS = or > 5 score, lockout time 6 hours
TAP-block with Levobupivacaine 0,3% - 25 ml from each side
Inclusion Criteria: Cesarean section pfannenstiel incision under spinal anesthesia Spinal anesthesia with Bupivacaine heavy 0,5% Without any adjuvants Exclusion Criteria: Any other anesthesia exept spinal Any other surgical incision