Improving Accuracy of Landmarks for Neuraxial Blocks in Pregnancy: The Sacral Anatomical Interspace Landmark (SAIL) Technique
NCT03433612 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 110
Last updated 2018-11-01
Summary
This study is a randomized clinical trial to evaluate the accuracy of the novel SAIL technique compared to the classic intercristal line technique in estimating the L4-L5 interspace for labor epidural or spinal anesthesia placement. The investigators hypothesize that the SAIL technique will be more accurate in successfully locating the L4-L5 interspace in pregnant women than the classic intercristal line technique.
Conditions
- Pregnancy Related
Interventions
- OTHER
-
Classic Intercristal Line Technique
Researcher will use the classic technique to estimate the L4-L5 interspace. The classic technique begins by palpating both the right and left posterior iliac crests and following the imaginary line that intersects each (intercristal line) with the non-dominant hand to the spine where it is estimated to intersect the L4 spinous process or L4-L5 interspace. A marker pen will mark an "X" lateral to the estimation, opposite side from the estimation of the other technique.
- OTHER
-
Novel SAIL Technique
Researcher will use the novel technique to estimate the L4-L5 interspace. The SAIL technique begins by palpating the sacrum and the researcher sliding the non-dominant hand up the dorsal surface of the sacrum to the first interspace (L5-S1) and then up one more interspace to estimate the L4-L5 interspace. A marker pen will mark an "X" lateral to the estimation, opposite side from the estimation of the other technique.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Carlo Pancaro, MD · University of Michigan
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-15
- Primary Completion
- 2018-06-28
- Completion
- 2018-10-30
Countries
- United States
Study Locations
More Related Trials
-
Comparison of Dural Puncture Epidural Versus Conventional Epidural for Labour Analgesia in Primigravida
NCT06766812 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Epidural Placement Using Handheld Ultrasound Device vs. Traditional Landmark Palpation
NCT04020042 ·Status: TERMINATED ·Phase: NA
-
Deambulatory Epidural During the Labour
NCT02264834 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Ultrasound Guided Low Epidural Catheter Placement With Standard Epidural Catheter Placement
NCT01182220 ·Status: COMPLETED
-
Compared Efficacy of Patient-controlled Epidural Analgesia With or Without Automatic Boluses
NCT03407209 ·Status: COMPLETED ·Phase: NA
-
Different Spinal Needles Sizes and Dural Puncture Epidural For Labor Analgesia
NCT03389945 ·Status: COMPLETED ·Phase: NA
-
Evaluation of a Protocol Posturalchanges in Women Giving Birth With Epidural Analgesia. Clinical Trial.
NCT05812560 ·Status: UNKNOWN ·Phase: NA
-
Pulsatile Pressure Waveform to Confirm Correct Placement of the Epidural in Laboring Patients
NCT02395796 ·Status: TERMINATED ·Phase: NA
-
Epidural Computer Controlled System for the Epidural Space Verification
NCT03165708 ·Status: COMPLETED
-
Changes in Velocimetric Indices of Uterine and Umbilical Arteries Before and After Combined Spinal-epidural Analgesia in Laboring Women (PART II)
NCT06655675 ·Status: RECRUITING ·Phase: NA
-
Erector Spinae Plane Block Versus Classic Epidural Analgesia in Labor
NCT04776512 ·Status: UNKNOWN ·Phase: NA
-
Gravity Flow Technique to Validate Proper Location of Epidural Needle Tip on Obese Parturients
NCT03437889 ·Status: COMPLETED ·Phase: NA
-
Study to Determine Whether the Instillation of 10ml Normal Saline Improves Epidural Analgesia During Labor
NCT01119079 ·Status: WITHDRAWN ·Phase: PHASE3
-
Elastography for Evaluating Cervical Maturity in Preparation for Labor Induction at 37 to 42 Weeks of Gestation
NCT02373800 ·Status: TERMINATED
-
Comparison of Safety and Efficacy Between PIEB and CEI for Labour Epidural Analgesia
NCT06889285 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Ultrasound-Guided Landmark and Epidural Site Pain
NCT02813681 ·Status: COMPLETED ·Phase: NA
-
Combined Implementation of Dural Puncture Epidural and Programmed Intermittent Epidural Bolus for Labor Analgesia
NCT03366935 ·Status: COMPLETED ·Phase: NA
-
Self-Obtained Ultrasound Scans for Measurement of Cervical Dilation and Effacement in Labor
NCT05038891 ·Status: COMPLETED
-
Dural Puncture Epidural VS Standard Epidural on Physician Top-ups During Labour Analgesia
NCT04728048 ·Status: COMPLETED ·Phase: NA
-
Impact of Dural Puncture Epidural Versus Traditional Lumbar Epidural on Onset of Labor Analgesia
NCT02412969 ·Status: COMPLETED ·Phase: NA
-
A Non Invasive Confirmatory Sign for Correct Epidural Catheter Placement During Normal Vaginal Delivery
NCT06371456 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
LATe Cerclage in High-risk Pregnancies (LATCH)
NCT06036446 ·Status: RECRUITING ·Phase: NA
-
Comparison of the Epifaith® Syringe With the Plastic Syringe
NCT06085027 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Epidural vs. Dural Puncture Epidural in Labor Analgesia
NCT06849726 ·Status: COMPLETED ·Phase: NA
-
An Observational Study Investigating the Positioning of Epidural Catheters and Their Function During Labour Analgesia
NCT02924779 ·Status: UNKNOWN