Intrathecal Morphine vs. Intrathecal Morphine and Regional Anesthesia After Cesarean Section.

NCT ID: NCT06114121

Last Updated: 2024-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-10

Study Completion Date

2024-09-10

Brief Summary

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The objective of the study is to optimize post-operative analgesia and improve patient satisfaction while reducing total opioid consumption after cesarean section

Detailed Description

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Conditions

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Post-operative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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erector spinae plane block

participants will be in this group for up to 9 months and receive erector spinae plane (ESP) block

Group Type EXPERIMENTAL

erector spinae plane block (ESP)

Intervention Type PROCEDURE

nerve block for abdominal pain. administered once immediately prior to spinal anesthetic standard of care.

Duramorph

Intervention Type DRUG

100 micrograms (mcg) of morphine administered in the spinal medications one time.

Ropivacaine

Intervention Type DRUG

Ropivacaine 0.5% between 20-40 milliliters will be administered once in the ESP block (in the spine) depending on patient weight to keep under the maximum dose.

Bupivacaine Injection

Intervention Type DRUG

Bupivacaine 0.75% 1.4-1.7 milliliters (10-12 milligrams) spinal medication. administered one time.

standard of care

participants in this group will receive the standard of care treatment and will be in this group for up to 9 months.

Group Type EXPERIMENTAL

Duramorph

Intervention Type DRUG

100 micrograms (mcg) of morphine administered in the spinal medications one time.

Ropivacaine

Intervention Type DRUG

Ropivacaine 0.5% between 20-40 milliliters will be administered once in the ESP block (in the spine) depending on patient weight to keep under the maximum dose.

Bupivacaine Injection

Intervention Type DRUG

Bupivacaine 0.75% 1.4-1.7 milliliters (10-12 milligrams) spinal medication. administered one time.

Interventions

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erector spinae plane block (ESP)

nerve block for abdominal pain. administered once immediately prior to spinal anesthetic standard of care.

Intervention Type PROCEDURE

Duramorph

100 micrograms (mcg) of morphine administered in the spinal medications one time.

Intervention Type DRUG

Ropivacaine

Ropivacaine 0.5% between 20-40 milliliters will be administered once in the ESP block (in the spine) depending on patient weight to keep under the maximum dose.

Intervention Type DRUG

Bupivacaine Injection

Bupivacaine 0.75% 1.4-1.7 milliliters (10-12 milligrams) spinal medication. administered one time.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Able to consent
* BMI\<35

Exclusion Criteria

* Adults unable to consent
* BMI\>35
* Individuals \<18 years of age at time of admission
* Individuals taking anticoagulant medications
* Significant co-morbid disease of pregnancy (including: gestational diabetes and significant abnormal placentation)
* Pre-existing chronic pain or pain disorder diagnosis
* Conversion from neuraxial to general anesthesia
* Prisoners
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Miami

OTHER

Sponsor Role lead

Responsible Party

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Reine Zbeidy

Associate Professor of Clinical Anesthesiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Reine Zbeidy, MD

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Other Identifiers

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20230857

Identifier Type: -

Identifier Source: org_study_id

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