A Randomized, Controlled Trial of the Lidocaine Patch for Relief of Pain During Epidural Needle Insertion in Laboring Patients
Overview
- Phase
- Not Applicable
- Intervention
- 5% lidocaine patch
- Conditions
- Pregnant
- Sponsor
- Loma Linda University
- Locations
- 1
- Primary Endpoint
- To determine if the 5% lidocaine patch can decrease the pain from epidural placement.
- Status
- Withdrawn
- Last Updated
- 14 years ago
Overview
Brief Summary
Infiltration of the skin with lidocaine is standard practice prior to lumbar epidural placement in laboring parturients1. Skin infiltration, although brief, can be very stressful and painful for patients.2 This initial discomfort may cause patient anxiety, thus increasing the pain and decreasing the satisfaction with the procedure. To reduce this discomfort, various topical alternatives have been investigated with varying degrees of success.1-4 Now that a topical mixture of lidocaine that is safe and effective is available, the investigators would like to determine if it can reduce the pain of skin infiltration in particular and epidural placement as a whole.
Investigators
Richard Applegate
MD
Loma Linda University
Eligibility Criteria
Inclusion Criteria
- •Laboring patients between the ages of 18 and 45 with a BMI of less than 45
Exclusion Criteria
- Not provided
Arms & Interventions
5% lidocaine patch
If the patient chooses to participate, the resident will place the patch over the lower lumbar area of the back.
Intervention: 5% lidocaine patch
placebo patch
If the patient chooses to participate, the resident will place the patch over the lower lumbar area of the back.
Intervention: placebo patch
Outcomes
Primary Outcomes
To determine if the 5% lidocaine patch can decrease the pain from epidural placement.
Time Frame: a minimum of 30 minutes from patch placement and a maximum of 12 hours