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Thermographic Imaging in Epidural Anesthesia

Withdrawn
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WITHDRAWN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
Inclusion Criteria
  • Parturients in active labor requesting epidural anesthesia for normal vaginal delivery
Exclusion Criteria
  • 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
GroupInterventionDescription
AThermographic imagingPt receiving standard Epidural block care for vaginal delivery
Primary Outcome Measures
NameTimeMethod
Change in temperature in the lower extremitiesat 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
NameTimeMethod
Successful epidural blockadeup to 30 min after performing the epidural block

adequate sensory level, pain control, motor blockade as evaluated by care provider

Epidural blockade failureUp 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 replacementUp to 30 min after performing the epidural block
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