Comparison of Ultrasound Guided Low Epidural Catheter Placement With Standard Epidural Catheter Placement
1 other identifier
observational
90
1 country
1
Brief Summary
- 1.labor epidural quite often require bolus supplementation for better pain control control. Quite often this is due to sparing of sacral nerves.
- 2.If epidural is placed low in the L5/S1 interspace using ultrasound, this may minimize bolus requirement and improve patient labor experience.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jan 2013
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 10, 2010
CompletedFirst Posted
Study publicly available on registry
August 16, 2010
CompletedStudy Start
First participant enrolled
January 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedNovember 1, 2016
October 1, 2016
2.4 years
May 10, 2010
October 31, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
1.Blocking of S1 and S2 dermatomes
After test dose and loading up of catheter, s1 and s2 dermatome blockage will be tested in L5/S1 epidural group vs conventionally placed epidural group. Idea is see if higher incidence of S1 and S2 blockage can be demonstrated in low epidural group.
30 minutes after loading epidural
Secondary Outcomes (2)
Number of top up doses for pain control throughout labor
from insertion till delivery average 8-24 hrs
Patient satisfaction
Evaluated on Post deliver day 1
Study Arms (2)
Ultrasound L5/S1 catheter placement
Pt will have back scanned with Ultrasound and L5/S1 interspace localized for epidural placement.
Control Group
Patients will have catheter placed after clinically evaluating the back as is done routinely resulting in mid lumbar catheter placement in general.
Eligibility Criteria
active laboring patient without any complication requesting epdiural for pain control
You may qualify if:
- Active labor age 18 or older
You may not qualify if:
- Known contraindications to epidural analgesia
- Any neurologic illness
- Fetal abnormalities
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Chicago Hospitals
Chicago, Illinois, 60637, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
TARIQ MALIK, MD
University of Chicago
- PRINCIPAL INVESTIGATOR
Mohammed Minhaj, MD
University of Chicago
Study Design
- Study Type
- observational
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 10, 2010
First Posted
August 16, 2010
Study Start
January 1, 2013
Primary Completion
June 1, 2015
Study Completion
July 1, 2015
Last Updated
November 1, 2016
Record last verified: 2016-10