Remifentanil vs. Combined Spinal-epidural Analgesia for Labor Analgesia and Progress of Labor in Multiparous
NCT02963337 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 162
Last updated 2019-10-16
Summary
Remifentanil may be an ideal drug for labor analgesia due to its pharmacodynamic and pharmacokinetic profile. As compared to epidural analgesia, it demonstrated satisfactory for pain relief at the beginning of labour with a gradual elevation of pain scores as labour progresses. However, fast onset and limited time efficacy may render it useful in multiparous with a faster labor progression, thus even making it an alternative to single-shot spinal analgesia.
Conditions
- Labor Pain
- Labor; Prolonged, Second Stage
- Labor; Prolonged, First Stage
Interventions
- DRUG
-
remifentanil
Remifentanil PCA will be used to deliver intravenous drug boluses from 20 to 40 micrograms per 2 min lockout interval.
- DRUG
-
combined spinal-epidural analgesia
Patient controlled epidural analgesia will be used to deliver epidural boluses of 6-10 ml of 0,1% bupivacaine with 2 micrograms of fentanyl per ml per 15 min lockout interval.
Sponsors & Collaborators
-
University Medical Centre Ljubljana
lead OTHER
Principal Investigators
-
Vesna Novak Jankovic, Professor · University Medical Centre
Eligibility
- Min Age
- 18 Years
- Max Age
- 55 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-01-01
- Primary Completion
- 2018-09-01
- Completion
- 2018-09-01
Countries
- Slovenia
Study Locations
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