Epidural Volume Extension and Intrathecal Use of Local Anesthetics in Cesarean Sections
Assessment of Sensory and Motor Block After Intrathecal Administration of Bupivacaine, Ropivacaine and Levo-bupivacaine Combined With Small Doses of Fentanyl, Followed by Administration of Normal Saline Epidurally:a Clinical Trial in Parturients Scheduled for C-section
1 other identifier
interventional
120
1 country
1
Brief Summary
Intrathecal (i.t.) administration of isobaric bupivacaine, ropivacaine and levobupivacaine with addition of fentanyl for c-section either combined or not with administration of 10 ml of N/S 0,9% epidurally, in order to extent epidural space.Sensory and motor block profile, haemodynamics and side effects were assessed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jan 2010
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2010
CompletedFirst Submitted
Initial submission to the registry
March 14, 2012
CompletedFirst Posted
Study publicly available on registry
March 20, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedApril 27, 2012
April 1, 2012
2.7 years
March 14, 2012
April 26, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Dermatomes of Sensory block
Dermatomes of sensory block(pin prick test) are assessed every minute for the first 30 minutes after the intrathecal administration of local anesthetics and there after every 5 minutes until withdrawal of sensory block
up to 120 minutes average
Motor block
Motor block according to the Bromage scale are assessed every minute for the first 30 minutes after the intrathecal administration of local anesthetics and there after every 5 minutes until withdrawal motor block
up to 120 minutes average
Secondary Outcomes (1)
Arterial Blood Pressure
up to 120 minutes average
Study Arms (6)
Group BFS
ACTIVE COMPARATORGroup B: BUPIVACAINE 0,5% 2ml + 10μg FENTANYL(0,2ml) INTRATHECALLY, FOLLOWED BY EPIDURAL ADMINISTRATION OF 10 ml N/S 0,9%
Group RFS
ACTIVE COMPARATORGroup R : ROPIVACAINE 0,75% 2ml + 10μg FENTANYL ( 0,2ml) INTRATHECALLY, FOLLOWED BY EPIDURAL ADMINISTRATION OF 10 ml N/S 0,9%
Group LFS
ACTIVE COMPARATORGroup L: LEVO-BUPIVACAINE 0,5% 2ml + 10μg FENTANYL(0,2ml) INTRATHECALLY, FOLLOWED BY EPIDURAL ADMINISTRATION OF 10 ml N/S 0,9%
BupivacaineF
ACTIVE COMPARATORGroup BupivacaineF: BUPIVACAINE 0,5% 2ml + 10μg FENTANYL(0,2ml) INTRATHECALLY
RopivacaineF
ACTIVE COMPARATORGroup RopivacaineF : ROPIVACAINE 0,75% 2ml + 10μg FENTANYL ( 0,2ml) INTRATHECALLY.
LevobupivacaineF
ACTIVE COMPARATORGroup LevobupivacaineF: LEVO-BUPIVACAINE 0,5% (2ml) + 10μg FENTANYL(0,2ml) INTRATHECALLY.
Interventions
Bupivacaine 0,5%, 2ml (10mg)bolus, Fentanyl 50μg/ml, 0,2ml (10 μg)bolus, Normal Saline 0,9%, 10ml bolus
Ropivacaine 0,75%, 2ml (15mg)bolus, Fentanyl 50μg/ml, 0,2ml (10 μg)bolus, Normal Saline 0,9%, 10ml bolus
Levo-bupivacaine 0,5%, 2ml (10mg)bolus, Fentanyl 50μg/ml, 0,2ml (10 μg)bolus, Normal Saline 0,9%, 10ml bolus
Bupivacaine 0,5%, 2ml (10mg)bolus, Fentanyl 50μg/ml, 0,2ml (10 μg)bolus
Ropivacaine 0,75%, 2ml (15mg)bolus, Fentanyl 50μg/ml, 0,2ml (10 μg)bolus.
Levo-bupivacaine 0,5%, 2ml (10mg)bolus, Fentanyl 50μg/ml, 0,2ml (10 μg)bolus
Eligibility Criteria
You may qualify if:
- Elective cesarean section
- ASA I-II
You may not qualify if:
- complicated pregnancy (i.e preeclampsia, eclampsia,arterial hypertension, diabetes mellitus)
- abnormal fetal heart rate at the time of admission
- body mass index \> 35 kg/m2
- height \<150cm and \>185 cm
- age \<18 yrs and \>40 yrs
- patients with contraindication to spinal anaesthesia( i.e anticoagulants)
- ASA \>III
- intraoperative excessive bleeding
- patients with previous psychiatric diseases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Anesthesiology and Intensive Care Medicine, University Hospital of Patras
Pátrai, Achaia, 26504, Greece
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
KRITON S FILOS, PROFESSOR
Department of Anesthesiology and Intensive Care Medicine, University Hospital of Patras
- PRINCIPAL INVESTIGATOR
Christina G Sklavou, MD
Department of Anesthesia and Intensive Care Medicine, University Hospital of Patras
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Anesthesiologist- MD
Study Record Dates
First Submitted
March 14, 2012
First Posted
March 20, 2012
Study Start
January 1, 2010
Primary Completion
September 1, 2012
Study Completion
December 1, 2012
Last Updated
April 27, 2012
Record last verified: 2012-04