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Clinical Trials/NCT01062893
NCT01062893TerminatedPhase 2

Effect of Epidural Saline on Duration and Spread of Subsequent Spinal Analgesia/Anesthesia Using a CSE Technique

Wake Forest University Health Sciences2 sites in 1 country82 target enrollmentStarted: August 2009Last updated:
Conditions

Trial Snapshot

Phase
Phase 2
Status
Terminated
Enrollment
82
Locations
2
Primary Endpoint
Highest Sensory Blockade Level to Pinprick and to Cold

Study Overview

Brief Summary

An attempt is being made to see if by injecting a set volume of sterile saline into the epidural space during the treatment of labor pain with a combined spinal/epidural (CSE) increases the amount of pain relief obtained and makes the labor analgesia lasts longer. Subjects are in the study from the time their CSE is placed until they request additional pain medication from the spinal dose of numbing medicine wearing off.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
12 Years to — (Child, Adult, Older Adult)
Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • age greater than 12 years of age
  • ASA status 1 or 2
  • cervical dilation < 6cm

Exclusion Criteria

  • ASA assigned 3 or 4
  • advanced labor (> 6cm cervical dilated)
  • distorted epidural anatomy

Outcomes

Primary Outcomes

Highest Sensory Blockade Level to Pinprick and to Cold

Time Frame: up to 20 minutes

Onset of analgesia to recession of analgesia. Highest spread of analgesia (highest sensory level) to cold temp and pinprick, with level defined from T1 to L5, where T1 is highest =level 17 and L5 is lowest =Level 1)

Secondary Outcomes

  • Duration of Analgesia (Time to Request Additional Analgesia)(up 120 minutes)
  • Onset of Analgesia(up to 20 minutes)
  • Occurrence of Use of Vasopressors(length of labor, up to 24 hours)
  • Time to Highest Sensory Block(up to 20 minutes)
  • Number of Participants Who Had Occurrence of Fetal Bradycardia(length of labor, up to 24 hours)
  • Number of Participants Who Had Occurrence of Maternal Hypotension(length of labor, up to 24 hours)
  • Number of Participants Who Had Occurrence of Itching(length of labor, up to 24 hours)
  • Time for Regression of Motor Blockade(up to 20 minutes)
  • Number of Participants Who Had Occurrence of Post Dural Puncture Headache(length of labor, up to 24 hours)
  • Time for 2 Dermatome Level Regression of Sensory Block(up to 20 minutes)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (2)

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