Low Pain Prediction in Cesarean Section Patients



Status:Terminated
Conditions:Post-Surgical Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - Any
Updated:9/12/2018
Start Date:November 2011
End Date:August 2014

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Eliminating Long Acting Spinal Narcotic Use and Its Associated Side Effects for Those Who do Not Need it After Cesarean Delivery

The investigators are attempting to see if eliminating the amount of long acting spinal
narcotic during cesarean section delivery will demonstrate pain scores with movement when
evaluated 24 hours postoperatively as those that receive the standard dosage of spinal
narcotic when combined with oral acetaminophen or placebo. The investigators also are
evaluating if there are decreased side effects related to decreased narcotic usage.

Subjects are randomized on the morning of surgery to receive a standard dose of spinal
narcotic or to receive no long acting spinal narcotic. The subjects may or may not also
receive acetaminophen orally postoperatively. Pain scores are done on postoperative day one
as well as evaluation of potential narcotic side effects such as nausea/vomiting, itching,
and sedation.

Inclusion Criteria:

- anticipated pain level estimated to be in the lowest 20th percentile (calculated <34.3
utilizing our standard preoperative questionnaire)

- age >/= 18

- not allergic to any study medications to be utilized in this study

- singleton pregnancy

Exclusion Criteria:

- allergies to morphine or acetaminophen

- diagnosis of a chronic pain disorder

- weight >300 lbs

- hepatic disease
We found this trial at
1
site
Winston-Salem, North Carolina 27103
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Winston-Salem, NC
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