Assessment of Sensory Block During Labour Epidural Analgesia in Patients Experiencing Pain During First Stage of Labour.
NCT05881395 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2024-02-23
Summary
Epidural analgesia is the gold standard for pain control during labour and an essential component of delivering effective and safe epidural analgesia is the assessment of the epidural sensory block. There is significant literature on the assessment of sensory block during spinal anesthesia for cesarean section but limited studies exploring the assessment of sensory blockade in labour analgesia.
Prior studies have documented two thresholds of sensory block to both ice and pinprick: one defined as the lower sensory block level (LSBL) where the patient is able to notice a cold or sharp sensation but perceives that is not as sharp or cold as a control area and the other the upper sensory block level (USBL) where the patient perceives the cold or sharp sensation is at the same temperature or sharpness as the control area.
The goal of this study is to contribute to the standardization of the assessment of sensory block levels during labour epidural analgesia by studying patients with labour epidurals who are experiencing pain and determining the LSBL and USBL and how these change as the patients become comfortable following the administration of manual epidural top ups.
Conditions
- Labor Pain
Sponsors & Collaborators
-
Samuel Lunenfeld Research Institute, Mount Sinai Hospital
lead OTHER
Principal Investigators
-
Jose Carvalho, MD · MOUNT SINAI HOSPITAL
Eligibility
- Min Age
- 18 Years
- Max Age
- 50 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-06-16
- Primary Completion
- 2023-12-02
- Completion
- 2023-12-03
Countries
- Canada
Study Locations
More Related Trials
-
Transcutaneous Electrical Nerve Stimulation for Labor Pain Control in Combination With Cardiotocography
NCT04946838 ·Status: COMPLETED ·Phase: NA
-
The Response Patterns to the Electrical Stimulation of Epidural Catheters With Varying Pulse Widths in Term Pregnant Women
NCT02762149 ·Status: TERMINATED ·Phase: NA
-
Ultrasound Determination of Needle Depth in Epidurals in Adult Patients
NCT00981916 ·Status: COMPLETED
-
Response Patterns to the Electric Stimulation of Epidural Catheters in Term Pregnant Women
NCT02274467 ·Status: COMPLETED ·Phase: NA
-
Usefulness of the Tsui Test in Combined Spinal-Epidural Analgesia in Labour
NCT00464841 ·Status: COMPLETED ·Phase: NA
-
Effects of Electrotherapy on Pain, Anxiety, Motion and Disability in Adults With Neck or Upper Body Pain.
NCT05382039 ·Status: COMPLETED ·Phase: NA
-
A Factorial Trial of Ultrasound and Manometry to Improve the Success of Thoracic Epidural Placement
NCT03559023 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Mechanical Vibration and ShotBlocker on Pain Levels During Heel Lance in Healthy Term Neonates
NCT06380556 ·Status: COMPLETED ·Phase: NA
-
Acupuncture for Pain Management During Uterine Aspiration
NCT03391986 ·Status: COMPLETED ·Phase: NA
-
Three-Dimensional Ultrasound (3D US) in Parturients
NCT01523249 ·Status: COMPLETED
-
Cervical Epidural Waveform Analysis Using Pressure Monitoring Kit
NCT02838654 ·Status: COMPLETED
-
Influence of Thoracic Epidural Anesthesia on Skin Sympathetic Activity and Heart Rate Variability
NCT00222391 ·Status: COMPLETED
-
Ultrasound-guided Combined Spinal-epidural Anesthesia: Pre-procedure Versus Real-time Scan
NCT03805958 ·Status: UNKNOWN ·Phase: NA
-
Tonic Versus Burst DR(TM) Epidural Motor Cortex Stimulation for Neuropathic Pain
NCT05984329 ·Status: COMPLETED
-
Acupuncture With Manual and Electrical Stimulation to Reduce Labour Pain
NCT01197950 ·Status: COMPLETED ·Phase: NA
-
To Map Human Lower Thoracic Dermatomes by Epidural Block
NCT03022136 ·Status: COMPLETED ·Phase: NA
-
Analgesic Territory Assessment of the Spinal Erector Block Using Pupillometry
NCT05762159 ·Status: COMPLETED
-
The Use of Electrical Stimulation for Determination of Epidural Catheter Placement
NCT06055686 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Acupuncture in Acute Nonspecific Low Back Pain
NCT01439412 ·Status: COMPLETED ·Phase: NA
-
Tsui Test as a Predictor of Bupivacaine Consumption in Labour Epidurals
NCT00792311 ·Status: COMPLETED ·Phase: NA
-
Assessment of the Use of Ultrasound for Epidural Catheter Placement and Comparison With Palpation Technique
NCT02271100 ·Status: COMPLETED ·Phase: NA
-
Analgesic Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) Versus Placebo During the First Stage of Labor
NCT03990441 ·Status: UNKNOWN ·Phase: NA
-
Measurement of the Skin Sympathetic Nerve Activity During Stellate, Thoracic, and Lumbar Sympathetic Ganglia Block
NCT03902860 ·Status: COMPLETED
-
ShotBlocker, Cold Needling, and Both Methods in Combination Pain and Satisfaction
NCT07258953 ·Status: COMPLETED ·Phase: NA
-
Handheld Ultrasound-assisted Versus Palpation-guided Labor Combined Spinal-epidural Analgesia
NCT04759547 ·Status: COMPLETED ·Phase: NA