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临床试验/NCT02412969
NCT02412969已完成不适用

Impact of Dural Puncture Epidural Versus Traditional Lumbar Epidural on Onset of Labor Analgesia

Medical University of South Carolina2 个研究点 分布在 1 个国家目标入组 101 人开始时间: 2014年8月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
101
试验地点
2
主要终点
Compare time of onset of labor analgesia Dural Puncture vs Lumbar Puncture

研究概览

简要总结

This study is to examine the onset of pain relief with two different methods of labor epidural. The traditional labor epidural involves the placement of numbing and anti-pain medicine in the epidural space which surrounds the spinal cord. In order to take effect, the medication has to cross a layer of tissue called the dura. In the current study, the same medications are placed in the epidural space after the dura is punctured with a fine needle. This research, will help evaluate whether this technique will result in earlier onset of pain relief.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 40 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Pregnant patients in active painful labor
  • ASA I and II parturients
  • Women Ages 18+ to 40
  • Patients who have labor epidural as part of their labor plan will be recruited

排除标准

  • Patients admitted to the Labor and Delivery Suite who are committed to have a delivery with the current admission but who do not want a labor epidural
  • Patients with the following: bleeding disorders, infection at the site of epidural placement, generalized sepsis, stenotic heart valve lesions, increased intracranial pressure, patients with hypovolemia, and patient refusal
  • Parturients with chronic pain syndromes
  • Patients on MAO inhibitors
  • Patients with allergies to bupivacaine and fentanyl (and other amide local anesthetics) patients with substance abuse history will be excluded
  • Non English-speaking patients will be excluded

结局指标

主要结局

Compare time of onset of labor analgesia Dural Puncture vs Lumbar Puncture

时间窗: two days post delivery

次要结局

  • Incidence of Side Effect(two days post delivery)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Latha Hebbar

Professor and Director of OB Anesthesia

Medical University of South Carolina

研究点 (2)

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