Comparison of Transversalis Fascia Plane Block and Erector Spinae Plane Blocks in Cesarean Section

Erzurum Regional Training & Research Hospital

Status: Unknown

Conditions: Postoperative Pain; Pain

Treatments: Drug: Bupivacaine 0.25% Injectable Solution

Study type: Interventional

Funder types: Other

Identifiers

NCT05117307

TFP vs ESP on C/S

Details and patient eligibility

About

Cesarean section is one of the most common major surgical procedures performed worldwide,, Post-cesarean analgesia should provide adequate pain control while allowing the mother to remain active to meet the needs of the baby. Insufficient analgesia after cesarean section may be associated with acute postoperative pain, chronic pain, higher opioid consumption, delayed functional capacity, and postpartum depression. Techniques such as neuraxial techniques, oral and intravenous agents, wound infiltration, and behavioral therapy can be used in the treatment of post-cesarean pain pain. In addition, Transversus abdominis plane block (TAP), Quadratus Lumborum block (QLB), Erector Spina block (ESP), Transversalis Fascia plane block (TFP) are used safely under ultrasound guidance. In this study, it was aimed primarily to examine the effects of TFP and ESP blocks on pain scores, and secondarily to evaluate analgesic consumption.

Enrollment: 60 estimated patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Between 18-50 years
• Cesarean Section

Exclusion criteria

• Cesarean Section under general anesthesia
• emergency cases
• those with a body mass index greater than 35 kg/m2
• coagulopathy
• local infection

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Group ESP

Active Comparator group

Description:

Ultrasound-guided erector spinae plane block with 20 ml %0.25 bupivacaine, per side

Treatment:

Drug: Bupivacaine 0.25% Injectable Solution

Group TFP

Active Comparator group

Description:

Ultrasound-guided Transversalis Fascia Plane Block block with 20 ml %0.25 bupivacaine, per side

Treatment:

Drug: Bupivacaine 0.25% Injectable Solution