Incidence and Characteristics of Breakthrough Pain in Parturients Using Computer Integrated Patient Controlled Epidural Analgesia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 350
- 试验地点
- 1
- 主要终点
- Breakthrough Pain (Requiring unscheduled epidural supplementation by anaesthetists)
研究概览
简要总结
The computer-integrated patient controlled epidural analgesia (CIPCEA) system can automatically adjust the background infusion rate during combined spinal-epidural (CSE) analgesia based on the parturient's need as labour progresses. Analysis of parturients experiencing breakthrough pain may identify associated factors that can also be related to obstetric or foetal outcomes
详细描述
Computer integrated patient controlled epidural analgesia (CIPCEA) is a novel epidural analgesic delivery system that is currently used in daily practice in KK Women's and Children's Hospital. It has enabled us to monitor the infusion pumps through wireless connection to a central monitoring system and hence, collect pump utilisation data electronically. The CIPCEA system is programmed to analyse the LA usage across the last hour and adjust the background infusion rate according to a preset algorithm.
Breakthrough pain is defined as maternal complaint of pain or pressure that required and was successfully treated with supplemental epidural medications. we investigated the potential factors associated with breakthrough pain in patients who receive CSE epidural analgesia with CIPCEA, with the aim of elucidating the important associated factors.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 21 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Nulliparous women,
- •requested for epidural analgesia
排除标准
- •Multiparous women,
- •unable to perform combined spinal epidural technique
结局指标
主要结局
Breakthrough Pain (Requiring unscheduled epidural supplementation by anaesthetists)
时间窗: 1 day
Requiring unscheduled epidural supplementation by anaesthetists
次要结局
- Caesarean Section (Rate of caesarean section)(1 day)
- Instrumental Delivery (Rate of instrumental delivery)(1 day)
研究者
Sng Ban Leong
Principal Investigator
KK Women's and Children's Hospital