Color Doppler Ultrasound to Locate Needle in Labor Epidural

NCT03596333 | Completed

• 1 other identifier: 1230080
• Study Type: observational
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

Color Flow Doppler (CFD) utilizes Doppler information obtained from signals sent to and received from a transducer. This information is color-encoded and then displayed as color on an overlay of the two-dimensional image. The color scale represents both speed and direction of flow within a discrete area of the image. CFD has been recently used to determine the position of the epidural catheter. However its role in labor epidural has yet to be defined. This study describes the use of CFD to confirm the position of the tip of the epidural needle in the context of labor analgesia. This study hypothesized that CFD is a feasible method for identifying proper epidural needle placement prior to epidural catheter advancement.

Conditions

Labor Pain; Obstetric Pain

Outcome Measures

Primary Outcomes (1)

• Epidural needle tip position

  Identification of posterior complex (dura and ligamentum flavum with color flow Doppler

  5 minutes (from insertion of epidural needle until identification of position)

Secondary Outcomes (2)

• Epidural catheter position

  5 minutes (from advancement of epidural catheter until identification of position)

• Epidural failure rate

  12 hours (labor duration)

Interventions

Retrospective chart review OTHER

We conducted a retrospective chart review to evaluate the stored ultrasound images used during labor epidural placement, as well as demographic and anesthetic variables.

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Term pregnant patients who underwent labor epidural assisted with ultrasound

You may qualify if:

• Pregnant patients who had labor epidural placed for clinical indications, in whom ultrasound was used to assist the procedure.

You may not qualify if:

• Poor quality ultrasound images judged by experienced anesthesiologist
• Patients with history of lumbar spine surgery

Sponsors & Collaborators

• Augusta University: lead

Study Sites (1)

Augusta University

Augusta, Georgia, 30912, United States

Location

MeSH Terms

Conditions

Labor Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Efrain Riveros Perez, MD

  Medical College of Georgia. Augusta University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor Department of Anesthesiology and Perioperative Medicine

Study Record Dates

• First Submitted: July 12, 2018
• First Posted: July 23, 2018
• Study Start: May 28, 2018
• Primary Completion: June 28, 2018
• Study Completion: June 30, 2018
• Last Updated: July 23, 2018

Record last verified: 2018-07

Locations

US (1)