Trial Outcomes & Findings for ITM + Bupivacaine QLB vs. ITM + Sham Saline QLB for Cesarean Delivery Pain (NCT NCT03261193)

NCT ID: NCT03261193

Last Updated: 2024-05-06

Results Overview

Post-operative pain accompanied with patient movement will be measured using a 10-point pain scale (VAS). The VAS scale is measured with 0=no pain at all and 10=most severe pain possible.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

21 participants

Primary outcome timeframe

24 hours after surgical procedure (cesarean delivery)

Results posted on

2024-05-06

Participant Flow

Participant milestones

Participant milestones
Measure
ITM + Sham QLB
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Overall Study
STARTED
10
11
Overall Study
COMPLETED
10
11
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

ITM + Bupivacaine QLB vs. ITM + Sham Saline QLB for Cesarean Delivery Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
31.80 Years
STANDARD_DEVIATION 4.16 • n=5 Participants
33.35 Years
STANDARD_DEVIATION 5.17 • n=7 Participants
32.55 Years
STANDARD_DEVIATION 4.66 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White, Caucasian (not Hispanic or Latino)
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American (not Hispanic or Latino)
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian (not Hispanic or Latino)
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian / Alaskan Native (not Hispanic or Latino)
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Declined to answer
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
14 participants
n=7 Participants
29 participants
n=5 Participants
Gravidity
2.93 Number of pregnancies
STANDARD_DEVIATION 1.67 • n=5 Participants
2.64 Number of pregnancies
STANDARD_DEVIATION 1.08 • n=7 Participants
2.79 Number of pregnancies
STANDARD_DEVIATION 1.40 • n=5 Participants
Parity
1.27 Number of births
STANDARD_DEVIATION 0.80 • n=5 Participants
0.93 Number of births
STANDARD_DEVIATION 0.47 • n=7 Participants
1.10 Number of births
STANDARD_DEVIATION 0.67 • n=5 Participants

PRIMARY outcome

Timeframe: 24 hours after surgical procedure (cesarean delivery)

Post-operative pain accompanied with patient movement will be measured using a 10-point pain scale (VAS). The VAS scale is measured with 0=no pain at all and 10=most severe pain possible.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Visual Analogue Scale (VAS) Pain Score With Movement
4.85 Units on a scale
Standard Deviation 2.23
3.14 Units on a scale
Standard Deviation 1.83

SECONDARY outcome

Timeframe: 24-hours post-operatively

Population: This data was not collected during the duration of this study.

Limited breastfeeding resulting from pain or opioid side effects

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 hour after intervention

Population: Data was not collected at the specified timepoint for this outcome.

VAS pain score reported by the patient at rest post-operatively using a 10-point pain scale (VAS). The VAS scale is measured with 0=no pain at all and 10=most severe pain possible.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From post-operative until the patient is either withdrawn from the study or requests analgesic medication up until 72 hours

Time to first opioid dose (measured in hours)

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
First Request for Pain Medication
17.30 Hours
Standard Deviation 14.90
17.37 Hours
Standard Deviation 14.29

SECONDARY outcome

Timeframe: 24-hours post-operative

Presence or absence will be noted. Will be measured via Ramsay Sedation Score which ranges on a scale of 1 to 6 as follows: 1-patient is anxious, agitated, or restless. 2-patient is co-operative and oriented. 3-patient responds to commands only. 4-patient exhibits brisk response to light stimuli or loud auditory stimuli. 5-patient exhibits sluggish response to light or auditory stimuli. 6-patient exhibits no response.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Sedation
Score 1
0 Participants
0 Participants
Sedation
Score 2
10 Participants
11 Participants
Sedation
Score 3
0 Participants
0 Participants
Sedation
Score 4
0 Participants
0 Participants
Sedation
Score 5
0 Participants
0 Participants
Sedation
Score 6
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 4-hours post-operative

Presence or absence will be noted via standard pruritus scale (0-3). 0 being no evidence of pruritus, group 1 being pruritus on diseased skin, group 2 being pruritus on non-diseased skin, and group 3 being chronic reactive lesions acquired from skin manipulation, such as rubbing, picking, or scratching

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Pruritis
Group 0
4 Participants
3 Participants
Pruritis
Group 1
2 Participants
5 Participants
Pruritis
Group 2
3 Participants
2 Participants
Pruritis
Group 3
1 Participants
1 Participants

SECONDARY outcome

Timeframe: 4-hours post-operative

Presence or absence will be noted via a scale of 0-3 as follows: 0-no nausea, 1-mild nausea not requesting pharmacological rescue, 2-moderate nausea requesting pharmacological rescue, and 3-severe nausea resistant to pharmacological treatment

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Nausea/Vomiting
Score 0
6 Participants
10 Participants
Nausea/Vomiting
Score 1
2 Participants
0 Participants
Nausea/Vomiting
Score 2
2 Participants
1 Participants
Nausea/Vomiting
Score 3
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 4-hours post-operative

Will be measured in mmHG per standard of care and documented by study staff.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Systolic Blood Pressure
113.69 mmHg
Standard Deviation 12.94
116.21 mmHg
Standard Deviation 12.05

SECONDARY outcome

Timeframe: 4-hours post-operative

Will be measured in rate/min per standard of care and documented by study staff

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Respiratory Rate
16.54 Breaths/minute
Standard Deviation 1.76
16.07 Breaths/minute
Standard Deviation 1.27

SECONDARY outcome

Timeframe: 4-hours post-operative

Will be measured in % per standard of care and documented by study staff

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Oxygen Saturation
96.6 percentage of SpO2
Standard Deviation 2.07
98.4 percentage of SpO2
Standard Deviation 2.07

SECONDARY outcome

Timeframe: 4 hours after intervention

VAS pain score reported by the patient at rest post-operatively using a 10-point pain scale (VAS). The VAS scale is measured with 0=no pain at all and 10=most severe pain possible.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Visual Analogue Scale (VAS) Pain Score at Rest
3.5 units on a scale
Standard Deviation 2.77
1.36 units on a scale
Standard Deviation 1.65

SECONDARY outcome

Timeframe: 24 hours after intervention

VAS pain score reported by the patient at rest post-operatively using a 10-point pain scale (VAS). The VAS scale is measured with 0=no pain at all and 10=most severe pain possible.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Visual Analogue Scale (VAS) Pain Score at Rest
3.14 units on a scale
Standard Deviation 1.83
2.38 units on a scale
Standard Deviation 2.14

SECONDARY outcome

Timeframe: 48 hours after intervention

VAS pain score reported by the patient at rest post-operatively using a 10-point pain scale (VAS). The VAS scale is measured with 0=no pain at all and 10=most severe pain possible.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Visual Analogue Scale (VAS) Pain Score at Rest
3.73 units on a scale
Standard Deviation 2.57
3.4 units on a scale
Standard Deviation 2.63

SECONDARY outcome

Timeframe: 24-hours post-operative

Presence or absence will be noted via standard pruritus scale (0-3). 0 being no evidence of pruritus, group 1 being pruritus on diseased skin, group 2 being pruritus on non-diseased skin, and group 3 being chronic reactive lesions acquired from skin manipulation, such as rubbing, picking, or scratching

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Pruritis
Group 0
5 Participants
5 Participants
Pruritis
Group 1
2 Participants
3 Participants
Pruritis
Group 2
2 Participants
2 Participants
Pruritis
Group 3
1 Participants
1 Participants

SECONDARY outcome

Timeframe: 48-hours post-operative

Presence or absence will be noted via standard pruritus scale (0-3). 0 being no evidence of pruritus, group 1 being pruritus on diseased skin, group 2 being pruritus on non-diseased skin, and group 3 being chronic reactive lesions acquired from skin manipulation, such as rubbing, picking, or scratching

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Pruritis
Group 0
8 Participants
10 Participants
Pruritis
Group 1
1 Participants
0 Participants
Pruritis
Group 2
1 Participants
1 Participants
Pruritis
Group 3
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 24-hours post-operative

Presence or absence will be noted via a scale of 0-3 as follows: 0-no nausea, 1-mild nausea not requesting pharmacological rescue, 2-moderate nausea requesting pharmacological rescue, and 3-severe nausea resistant to pharmacological treatment

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Nausea/Vomiting
Score 0
9 Participants
10 Participants
Nausea/Vomiting
Score 1
1 Participants
0 Participants
Nausea/Vomiting
Score 2
0 Participants
1 Participants
Nausea/Vomiting
Score 3
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 48-hours post-operative

Presence or absence will be noted via a scale of 0-3 as follows: 0-no nausea, 1-mild nausea not requesting pharmacological rescue, 2-moderate nausea requesting pharmacological rescue, and 3-severe nausea resistant to pharmacological treatment

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Nausea/Vomiting
Score 0
8 Participants
11 Participants
Nausea/Vomiting
Score 1
2 Participants
0 Participants
Nausea/Vomiting
Score 2
0 Participants
0 Participants
Nausea/Vomiting
Score 3
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 4-hours post-operative

Standard heart rate obtained

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Heart Rate
82.62 Heartbeats/minute
Standard Deviation 10.63
78.86 Heartbeats/minute
Standard Deviation 15.94

SECONDARY outcome

Timeframe: 24-hours post-operative

Standard heart rate obtained

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Heart Rate
86.86 Heartbeats/minute
Standard Deviation 10.24
91.33 Heartbeats/minute
Standard Deviation 6.15

SECONDARY outcome

Timeframe: 48-hours post-operative

Standard heart rate obtained

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Heart Rate
87.00 Heartbeats/minute
Standard Deviation 7.55
86.50 Heartbeats/minute
Standard Deviation 3.54

SECONDARY outcome

Timeframe: 24-hours post-operative

Will be measured in mmHG per standard of care and documented by study staff.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Systolic Blood Pressure
109.29 mmHg
Standard Deviation 9.41
111.00 mmHg
Standard Deviation 11.40

SECONDARY outcome

Timeframe: 48-hours post-operative

Will be measured in mmHG per standard of care and documented by study staff.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Systolic Blood Pressure
117.6 mmHg
Standard Deviation 13.15
124.00 mmHg
Standard Deviation 5.66

SECONDARY outcome

Timeframe: 4-hours post-operative

Will be measured in mmHG per standard of care and documented by study staff.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Diastolic Blood Pressure
71.15 mmHg
Standard Deviation 9.21
70.36 mmHg
Standard Deviation 2.29

SECONDARY outcome

Timeframe: 24-hours post-operative

Will be measured in mmHG per standard of care and documented by study staff.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Diastolic Blood Pressure
68.00 mmHg
Standard Deviation 7.96
70.67 mmHg
Standard Deviation 8.96

SECONDARY outcome

Timeframe: 48-hours post-operative

Will be measured in mmHG per standard of care and documented by study staff.

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Diastolic Blood Pressure
75.80 mmHg
Standard Deviation 9.09
76.50 mmHg
Standard Deviation 7.78

SECONDARY outcome

Timeframe: 24-hours post-operative

Will be measured in rate/min per standard of care and documented by study staff

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Respiratory Rate
16.29 Breaths/minute
Standard Deviation 2.93
16.67 Breaths/minute
Standard Deviation 1.51

SECONDARY outcome

Timeframe: 48-hours post-operative

Will be measured in rate/min per standard of care and documented by study staff

Outcome measures

Outcome measures
Measure
ITM + Sham QLB
n=10 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with sham saline block. Saline will be administered as a quadratus lumborum block prior to cesarean section. ITM + Sham QLB: Sham subcutaneous non-anesthetic infiltration with saline
ITM + Bupivacaine QLB
n=11 Participants
Standard spinal with intrathecal morphine for surgical anesthetic with ql block with bupivacaine local anesthetic. Interventional drug will be administered prior to cesarean section. ITM + Bupivacaine QLB: QL plane block with local anesthesia
Respiratory Rate
16.40 Breaths/minute
Standard Deviation 2.19
18.00 Breaths/minute
Standard Deviation 0.00

Adverse Events

ITM + Sham QLB

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ITM + Bupivacaine QLB

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Nicholas Schott, MD

UPMC

Phone: 412-692-4503

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place