Use of Ultrasound Guidance to Assist With Labor Epidural Placement in Patients With a BMI ≥40

NCT02984267 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 18

Last updated 2018-07-11

Study results available
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Summary

Placement of labor epidurals is a very common daily practice in obstetrical anesthesia. Currently, these epidurals are placed based upon palpation of landmarks to determine midline and the correct spinal level for placement. Palpation of these landmarks can be difficult, however, particularly in morbidly obese patients who have significant amounts of soft tissue overlying them. This study seeks to use ultrasound guidance to examine the spine prior to epidural placement, and see what effects this has compared to palpation alone with respect to procedure time, number of attempts, success rate in the first attempt, failure rate, complication rate, patient anxiety levels, and patient satisfaction levels.

Conditions

  • Labor Pain

Interventions

DEVICE

Ultrasound

Using ultrasound guidance to evaluate the spine prior to epidural placement

OTHER

Palpation

Using palpation only to evaluate the spine prior to epidural placement

Sponsors & Collaborators

  • West Penn Allegheny Health System

    collaborator OTHER
  • Thomas J. Vernon

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2016-12-31
Primary Completion
2017-04-15
Completion
2017-04-15

Countries

  • United States

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02984267 on ClinicalTrials.gov