An observational study in Shoulder Pain, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2024-02-06.
Sponsored by Ain Shams University · Observational
Shoulder pain is a commonly observed, annoying and mostly neglected consequence of cesarean section and little is known as well as explored about intraoperative shoulder pain. This study will explore the factors precipitating shoulder pain during cesarean section, preventive analgesia and treatment modalities
The most common surgery performed on women around the world is caesarean section. The majority of caesarean sections these days are carried out under regional analgesia, though some need to be carried out under general anesthesia, particularly in emergency situations or when there is a contraindication to the use of regional anesthesia. Benefits of spinal anesthesia include an awake mother at birth, minimizing or avoiding the risk of general anesthesia (aspiration, difficulty intubation, etc.) and minimal side effects to the newborn.
Shoulder tip pain (STP) is a usual complication after laparoscopy with the incidence reported varying between35% to 80%. Recent studies suggest that this type of pain is also seen after cesarean section Shoulder pain is commonly observed, but is largely ignored complication of caesarean section, and little is understood or studied regarding intraoperative shoulder pain.
Shoulder pain can be more excruciating in some patients than the pain from the surgical incision. This pain may be associated with diaphragmatic irritation/injury from local acidosis, the irritating effects of carbon dioxide during pneumoperitoneum, or stretching forces on the diaphragm. ( Although carbon dioxide is not used in cesarean compared to laparoscopic surgeries, stretching forces on the diaphragm during cesarean can be one of the causes of shoulder pain in these patients.
It is believed that seepage of blood or amniotic fluid into the abdomen accumulation during cesarean section and subdiaphragmatic may be the cause of STP. Retained blood clots in patients undergoing CS can induce diaphragmatic discomfort and stimulate the phrenic nerve. Peritoneal cleaning and visceral manipulation also may play a part.
Fentanyl is a commonly used lipophilic opioid for spinal anesthesia with relatively approved intraoperative anti-nociceptors effect.
707 studies on the registry are indexed under Shoulder Pain; 152 are open to participants now.
This study's enrollment of 44 is below the median of 82 across 130 observational studies indexed under Shoulder Pain.
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Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
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parturients undergoing LSCS
Exclusion Criteria:
The patients will receive 2.5 ml of hyperbaric bupivacaine 0.5 % and 25 µg fentanyl \[6\].
Procedure: spinal anesthesia · Procedure: caesarean section
The patients will receive 2.5 ml of hyperbaric bupivacaine 0.5 %
Procedure: spinal anesthesia · Procedure: caesarean section
spinal anesthesia
LSCS
incidence of occurrence intraoperative and early postoperative shoulder tip pain anesthesia as a preventive analgesia for shoulder tips pain with Cesarean section.
comparing incidence of shoulder pain between the groups
Time frame: intraoperative till 12 hours postoperative
This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.
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Ain Shams University