Thermographic Imaging in Epidural Anesthesia
- Conditions
- Epidural Blockade
- Interventions
- Device: Thermographic imaging
- Registration Number
- NCT02739776
- Lead Sponsor
- Cook County Health
- Brief Summary
The purpose of this study is to describe infrared thermographic imaging as a tool for the assessment of epidural block in obstetrics patients
- Detailed Description
Patients will recive standard anesthesia care for epidural placement and additionally, thermographic imaging will be obtained at baseline and up to 30 min after the epidural blockade is performed.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- Female
- Target Recruitment
- Not specified
- Parturients in active labor requesting epidural anesthesia for normal vaginal delivery
- Patients with lower extremity skin disorders like active infections like cellulitis, ,dermatitis, psoriasis or connective tissue disorders like scleroderma or Raynaud's phenomenon
- Patients with diagnosed peripheral vascular disease ,venous stasis , deep venous thrombosis.
- Patients with Severe preeclampsia with significant lower extremity edema
- Patient on vasoactive agents like vasodilators, calcium channels blockers.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description A Thermographic imaging Pt receiving standard Epidural block care for vaginal delivery
- Primary Outcome Measures
Name Time Method Change in temperature in the lower extremities at baseline, 5 min before the epidural blockade, during and up to 30 minutes after performing the epidural blockade thermographic images of the lower extremities will be obtained and analyzed for thermography patterns.
- Secondary Outcome Measures
Name Time Method Successful epidural blockade up to 30 min after performing the epidural block adequate sensory level, pain control, motor blockade as evaluated by care provider
Epidural blockade failure Up to 30 min after performing the epidural block Failure of the epidural block to adequately control pain, unilateral blockade, optimal sensory level, inadequate motor blockade
Requirement for Epidural catheter manipulation or replacement Up to 30 min after performing the epidural block