Ensayo clínico Fase IV, unicéntrico, tripleciego, aleatorizado, controlado, en tres grupos paralelos para evaluar la eficacia del bloqueo del plano transverso abdominal y la administración de un miligramo de cloruro mórfico por vía epidural en cesáreas programadas

Abstract

Cesarean section is a common surgical procedure that causes moderate to intense paine specially in the first 24 hours. The expectations of fast recovery are very high by patients. For this reason, the mother's perioperative care should aim at an optimal general comfort. Analgesic methods must be safe for the mother and the newborn, interfere as little as possible with the breastfeeding and not cause side effects, allowing an early mobilization and oral tolerance of the mother. The perinatal care could be integrated in a strategy of early recovery after surgery (ERAS), which consists in the application of a series of measures during the perioperative period to reduce the stress of surgical process, leading to a better recovery of the patient, by reducing complications and morbidity. In the ERAS protocols, the pain control is an essential outcome and multimodal analgesia is the gold standard to achieve it. Although recent studies detected that the association of neuroaxial morphine along with NAIDS is the most effective strategy, they also indicated that it can be responsible for side effects that can delay this rapid recovery and interfere with breastfeeding. Therefore, peripheral nerve block techniques, such as transversus abdominis plane (TAP) block, have been considered...