Success Rate, Efficiency, and Predictors of Reactivation of a Continuous Labor Epidural Catheter for Postpartum Tubal Ligation
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Success Rate of Reactivation of Existing Continuous Labor Epidural Catheter for Postpartum Tubal Ligation
研究概览
简要总结
This study is to study the success rate of using the epidural catheter that was placed during the labor for the surgical anesthesia to perform a postpartum tubal ligation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 19 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologists (ASA) 1-3 postpartum women desiring Postpartum Bilateral Tubal Ligation (PPBTL) for infertility
- •Functional epidural catheter placed for labor and delivery analgesia
- •The epidural is still taped within 1cm of the original depth when it was functional for labor analgesia
- •1-45 years of age
排除标准
- •ASA 4 status
- •History of dural puncture ("wet tap") during initial epidural catheter insertion
- •History of marginal or inadequate epidural analgesia for labor
- •Cesarean section for delivery
- •Examination demonstrates that the indwelling catheter has migrated more than 1 cm from the original depth when secured
- •The end of indwelling epidural catheter appears to have not been capped appropriately or the cap was not maintained intact
- •Prolonged sensory or motor block, bladder or anal sphincter dysfunction, nerve damage, inability to ambulate, post-dural puncture headache (PDHD), or seizures, during or after delivery and following cessation of the epidural catheter dosing
- •Pseudocholinesterase deficiency
- •Allergy to Nesacaine® (chloroprocaine) or lidocaine
- •General anesthesia provided for delivery
- •History of substance abuse disorder
- •History of major psychiatric disorder
- •Non-English reading/speaking participants
研究组 & 干预措施
Spinal Anesthetic Group
This group will receive spinal anesthetic for the surgical procedure and will serve as the control group for this study.
干预措施: Spinal anesthetic (Other)
Epidural Anesthetic Group
This is the experimental group for this study.
干预措施: Epidural anesthetic (Other)
结局指标
主要结局
Success Rate of Reactivation of Existing Continuous Labor Epidural Catheter for Postpartum Tubal Ligation
时间窗: at the time of surgery
Rate of reactivation of the epidural catheter for postpartum tubal ligation in the group that was randomized to the epidural anesthetic group. (Need for additional supplemental analgesics and sedatives or the need to convert to general anesthesia.)
次要结局
- Impact of Anesthesia Type on OR (Operating Room) Efficiency(minutes until surgery start)
研究者
Marsha Wakefield, MD
Principal Investigator
University of Alabama at Birmingham