Comparison of Labor Analgesia Between Modified Combined Spinal-Epidural and Dural Puncture Epidural Techniques
NCT03258879 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2017-11-14
Summary
Epidural, Combined Spinal-Epidural, and more recently dural puncture epidural are forms of neuraxial anesthesia used to provide pain relief in laboring women . The investigators want to assess the onset of pain relief with 2 different neuraxial techniques performed at our center, but which have not yet been compared in the literature: (1) Modified CSE, with only local anesthetic injected into the spinal fluid to reduce side effects of opioids that are seen with the traditional CSE and (2) Dural Puncture Epidural (DPE), involving puncture of the spinal membrane, but without injection of medication into the spinal space. The investigators hypothesize that the onset of labor analgesia will be faster with modified CSE compared to DPE.
Conditions
- To Determine the Onset of Analgesia (Numerical Rating Scale for Pain = 1) in Minutes
Interventions
- PROCEDURE
-
Modified CSE
MCSE group: 1 ml of 0.25% bupivacaine will be injected intrathecally
- PROCEDURE
-
Dural puncture epidural
DPE group: Dural puncture performed, but no medication will be injected intrathecally.
Sponsors & Collaborators
-
Western University, Canada
lead OTHER
Principal Investigators
-
Indu Singh, MD, FRCPC · Western University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2018-01-31
- Primary Completion
- 2018-08-31
- Completion
- 2018-08-31
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