Lumbar Erector Spinae Plane Block Versus Classic Epidural Analgesia in Labor
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 主要终点
- Analgesia during labor
研究概览
简要总结
Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery.
At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups:
- ESP group: patients will receive ultrasound guided, bilateral ESP Block performed at the level of the 3 rd Lumbar transverse process.
- Epidural Analgesia Group: Patients will have a classic lumbar continuous epidural analgesia.
详细描述
Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery.
At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups:
- ESP group: patients will receive ultrasound guided, bilateral ESP Block performed at the level of the 3 rd Lumbar transverse process.
- Epidural Analgesia Group: Patients will have a classic lumbar continuous epidural analgesia.
For the first group: 20 ml of 0,375% isobaric Bupivacain solution will be injected bilaterally under ultrasound direct vision.
Concerning the second group, patients will have a continuous injection of 0,125% Bupivacain solution associated to 0,25 mcg of Sufentanil/ml through an epidural catheter in the L3-L4 or L4-L5 intervertebral space.
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
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Full termed parturients admitted for vaginal delivery
- •singleton pregnancy
- •No contraindications to perimedullar analgesia techniques
排除标准
- •Indication to Cesarean section during labor period
结局指标
主要结局
Analgesia during labor
时间窗: change in VAS score 1 hour after the beginning of labor
analgesia assessed using VAScore
次要结局
未报告次要终点
研究者
Mhamed Sami Mebazaa
Professor head of anesthesia and intensive care department
Mongi Slim Hospital