A Comparison of Epidural Analgesia: Continuous Infusion Versus Programmed Intermittent Boluses
NCT02510287 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 128
Last updated 2016-05-20
Summary
The analgesic approach in labor can be done in different ways, among which the neuraxial approach has shown the best analgesic results and fetal outcomes. Currently, programmed epidural intermittent bolus has been included in the neuraxial approach for a better distribution of the solution into the epidural space as compared with the continuous infusion strategy. In this study, the investigators seek to compare both strategies in 132 laboring women.
Conditions
- Labor Pain
Interventions
- DRUG
-
Bupivacaine and Fentanyl Initial Dose
10 ml of 0.1% bupivacaine (2 ml of 0.5% bupivacaine and 50 mcg / ml fentanyl in 7 ml of normal saline solution)
- DRUG
-
Bupivacaine and Fentanyl: Continuous Epidural Infusion
0.1% bupivacaine and fentanyl 2 mcg / ml (8-12 ml / hour)
- DRUG
-
Bupivacaine and Fentanyl: Programmed Intermittent Epidural Bolus
A 0.1% bupivacaine and fentanyl 2 mcg / ml (8-12ml) bolus will be administered each hour at a rate of 500ml/hour
- DRUG
-
Rescue Bolus
Upon patient request, rescue bolus of 8-10 ml of 0.1% bupivacaine will be administered.
- DRUG
-
Lidocaine
If needed, during the second phase (9-10 centimeters of cervical dilation) a 2% lidocaine without epinephrine (8-10 cc) bolus will be administered.
Sponsors & Collaborators
-
Fundación Santa Fe de Bogota
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-07-31
- Primary Completion
- 2016-05-31
- Completion
- 2016-05-31
Countries
- Colombia
Study Locations
More Related Trials
-
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor-3
NCT02887222 ·Status: COMPLETED ·Phase: NA
-
The Programmed Intermittent Epidural Bolus Adrenaline Study
NCT03043781 ·Status: COMPLETED ·Phase: NA
-
Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes
NCT02008591 ·Status: COMPLETED ·Phase: PHASE4
-
Programmed Intermittent Epidural Bolus For Laboring Obstetrical Women
NCT03712735 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Programmed Intermittent Epidural Bolus With Continuous Epidural Infusion for Labor Epidural Analgesia
NCT02873091 ·Status: UNKNOWN ·Phase: NA
-
PIEB Compared With CEI on Breakthrough Pain in Nulliparous Women
NCT06494280 ·Status: RECRUITING ·Phase: NA
-
Ropivacaine and Fentanyl for Labor Epidural Initiation
NCT07076368 ·Status: RECRUITING ·Phase: PHASE3
-
Association Between Bolus Rate and the Adequacy of Labor Analgesia Using Timed-intermittent Boluses
NCT02340806 ·Status: COMPLETED ·Phase: NA
-
Spinal Fentanyl or Epidural Analgesia in the Early First Phase of Induced Labor
NCT04645823 ·Status: COMPLETED ·Phase: PHASE4
-
The Effects of Intermittent Epidural Bolus on Fever During Labor Analgesia
NCT01708668 ·Status: UNKNOWN ·Phase: NA
-
Epidural Fentanyl-bupivacaine Versus Clonidine-bupivacaine for Breakthrough Pain in Advanced Labor
NCT00691795 ·Status: WITHDRAWN ·Phase: PHASE4
-
Comparison of Epidural Fentanyl and Clonidine for Breakthrough Pain
NCT01846221 ·Status: COMPLETED ·Phase: PHASE4
-
Erector Spinae Plane Block Versus Classic Epidural Analgesia in Labor
NCT04776512 ·Status: UNKNOWN ·Phase: NA
-
Programmed Intermittent Epidural Bolus Time Interval and Injection Volume
NCT00417027 ·Status: COMPLETED ·Phase: NA
-
Study Comparing Dural Puncture Epidural With Epidural and Combined Spinal Epidural Anesthesia for Obstetric Analgesia.
NCT05196256 ·Status: UNKNOWN ·Phase: PHASE3
-
Intermittent Automated Devices for Labor Analgesia in Emilia Romagna
NCT02710877 ·Status: TERMINATED ·Phase: NA
-
Parturient Satisfaction With Epidural Analgesia by PCEA or Manual Boluses
NCT06094946 ·Status: NOT_YET_RECRUITING
-
Programmed Intermittent Epidural Bolus for Labor Analgesia During First Stage of Labor: A Sequential Allocation Trial to Determine the Optimum Interval Time Between Boluses of a Fixed Volume of 2.5ml of Bupivacaine 0.25% Plus Fentanyl 8 mcg/ml
NCT03735771 ·Status: COMPLETED ·Phase: NA
-
PIEB vs PCEA With Epidural or CSE Technique. A Randomized Double Blind Clinical Trial
NCT02768272 ·Status: COMPLETED ·Phase: PHASE4
-
Incidence of Pruritus Using Intrathecal Fentanyl Versus Epidural Fentanyl to Initiate Labour Analgesia.
NCT07187427 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Combined Spinal-Epidural Versus Traditional Labor Epidural
NCT00151346 ·Status: COMPLETED ·Phase: PHASE4
-
A Comparison Study of Patient Controlled Epidural Analgesia (PCEA) With and Without Basal Infusion Using Ropivacaine 0,15% and Fentanyl μg/ml for Pain Relief in Labor, Assessment of Efficacy and Maternal Satisfaction.
NCT02084589 ·Status: COMPLETED ·Phase: NA
-
Spinal or Epidural Fentanyl or Sufentanil for Labour Pain in Early Phase of the Labour
NCT02885350 ·Status: COMPLETED ·Phase: PHASE4
-
A Comparison Between 2 Methods of Local Anesthetic Administration for Maintaining Labor Analgesia After Dural Puncture Epidural
NCT05034211 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Two Methods of Administration of the Epidural, by Programmed Intermittent Bolus or Continuous Perfusion, on the Incidence of Cesarean Sections and Instrumented Deliveries in Primiparous Women
NCT02705872 ·Status: WITHDRAWN ·Phase: PHASE2