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Phase 4 Completed N=66 Randomized Quadruple-blind Treatment

IV Acetaminophen for Acute Post Operative Pain in C-Section Patients

Post-operative Pain
Source: ClinicalTrials.gov NCT02069184 ↗
Enrolled (actual)
66
Serious AEs
0.0%
Results posted
Aug 2019
Primary outcomePrimary: Opioid Requirements in Cesarean Section (C-section) Patient Population — 44; 48; 58; 57 mg
◆ Published Evidence
Emerging
6citations · ~2 / year
The analgesic efficacy of IV acetaminophen for acute postoperative pain in C-section patients: a randomized, double-blind, placebo-controlled study.
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022 · Likely link

Summary

Post-operative pain management after C-section is an important topic as the number of elective c-sections increases each year. Pain is managed either by giving opioids or by using non-opioids. The purpose of this study is to evaluate the effectiveness of IV Acetaminophen in pain relief and its impact in the usage of post-operative opioid requirements and opioid associated complications. The hypothesis is that four doses of IV Acetaminophen in conjunction with intrathecal or epidural morphine given to the patients after c-section will reduce post-operative opioid requirements and opioid associated complications.

Linked Publications

  • The analgesic efficacy of IV acetaminophen for acute postoperative pain in C-section patients: a randomized, double-blind, placebo-controlled study.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022 · 6 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Opioid Requirements in Cesarean Section (C-section) Patient Population
44; 48; 58; 57
SECONDARY
Visual Analog Score (VAS) Pain Score
2.2; 1.4; 3.4; 3.6; 1.2; 2.3
SECONDARY
Percentage of Participants Reporting to be Wide Awake up to 72 Hours After the C-section
95; 95
SECONDARY
"Percentage of Patients With Adverse Events After the Surgery
22; 27; 21; 27; 57; 63
SECONDARY
Number of Participants Using Patient-controlled Analgesia (PCA) Attempts
SECONDARY
Percentage of Participants That Were Re-Hospitalized 1 Week After Discharge
0; 0
SECONDARY
Pain Medication Usage ( NSAIDS)
27; 30.3

Eligibility Criteria

Inclusion Criteria

  • Elective full term CS patients
  • Age 18 and above
  • ASA I-III

Exclusion Criteria

  • Allergic reaction to IV acetaminophen
  • Not able to understand and sign the research consent
  • Pregnancy induced hypertension or pre-eclampsia patients
  • Planned intensive care admission patients
  • Patients with severe hepatic impairment or active liver diseases (Two fold increase in any of the liver enzymes)
  • Patients with serum creatinine>2mg/dl
  • For nursing mothers, any evidence of hepatic dysfunction of the new born
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02069184) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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