Clinical trials: Epidural Placement
Anesthesia
Superiority of Epidural Placement Technique Using EpiFaith Syringe
The aim of this study is to evaluate the impact of EpiFaith® syringe on the establishment of successful epidural labor analgesia, change of elapsed time for identification of epidural space, and learning curve of CA-1 residents.
- Trial name
- NCT04793373
- Testing
- Syringe
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- Harvard Medical School (HMS and HSDM)
Epidural Anesthesia
Efficacy and Safety of Electric Stimulation-guided Epidural Anesthesia for Cesarean Section
Forty pregnant women (36 to 41 weeks gestation) will randomly allocate to two groups. Groups will be defined based on the method used to identify the epidural space for epidural anesthesia: the loss of resistance group (n=20) and…
- Trial name
- NCT03443466
- Testing
- Epidural electrical stimulation (EES), Loss of resistance (LOR)
- Where
- South Korea
- Volunteers
- 40 people
- Sponsor
- Korea University Guro Hospital
Anesthesia
Magnesium for Shivering in Epidural Lidocaine Deliveries
Magnesium has been shown to decrease the shivering experienced from neuraxial anesthesia. This study aims to investigate whether magnesium decreases the shivering experienced in parturients undergoing labor epidural anesthesia…
- Trial name
- Mag-SHIELD (NCT03439358)
- Testing
- Magnesium Sulfate, Normal Saline
- Where
- Canada
- Volunteers
- 90 people, healthy volunteers welcome
- Sponsor
- University of British Columbia
Mid-line Laparotomies
Analgesia for Mid-line Laparotomies: Thoracic Epidural vs Restus Sheath Analgesia
Midline laparotomies are accompanied by severe postoperative pain. Adequate post-operative pain relief after major abdominal surgery reduces complications (e.g.
- Trial name
- NCT04262622
- Testing
- Group TEA: thoracic epidural analgesia group, Group RSB: rectus sheath block group
- Where
- Egypt
- Volunteers
- 50 people
- Sponsor
- Zagazig University
Effects of; Anesthesia, Spinal and Epidural, in Pregnancy
Effect of EPD on the Lumbar Acoustic Window at Term Pregnancy
The purpose of this study is to assess whether application of an epidural positioning device to a parturient seated for neuraxial anaesthesia increase the size of the paramedian target area for neuraxial needle insertion.
- Trial name
- NCT02711150
- Testing
- PLL Length Measured through US
- Volunteers
- 30 people
- Sponsor
- London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Labour Analgesia
Effect of Epidural Needle Injection on Catheter Placement Success During Painless Labour
Epidural analgesia is the gold standard for painless labour, but successful catheter placement can be technically challenging due to anatomical and physiological changes in pregnancy.
- Trial name
- NCT07327918
- Testing
- Injection Group, Control group
- Where
- Egypt
- Volunteers
- 216 people
- Sponsor
- Al-Azhar University
Labor Pain
Assessment of the Use of Ultrasound for Epidural Catheter Placement and Comparison With Palpation Technique
This study is intended to determine whether ultrasound imaging can improve the ability to place a spinal or epidural needle in obstetric anesthesia.
- Trial name
- NCT02271100
- Testing
- ultrasound guidance, palpation guidance
- Where
- United States
- Volunteers
- 110 people, healthy volunteers welcome
- Sponsor
- Beth Israel Deaconess Medical Center
Obstetric Pain, Anesthesia, Local
Obstetric Placement Study Using EST
Combined spinal-epidural (CSE) is an established technique for providing labour analgesia to obstetric patients which provides rapid onset but unsustained analgesia.
- Trial name
- NCT04109365
- Testing
- Electrical Epidural Stimulation Test (EST)
- Where
- United States
- Volunteers
- 40 people
- Sponsor
- Stanford University
Epidural Placement
Utilizing Ultrasound for Residents as an Aid in Epidural Placement
This randomized controlled trial will evaluate the use of ultrasound as an aid for epidural placement in residents performing all epidural techniques under direct staff anesthesiologist supervision.
- Trial name
- NCT03378492
- Testing
- Ultrasound Guided Epidural, Standard Epidural
- Volunteers
- healthy volunteers welcome
- Sponsor
- Yale University
Pain Associated With Epidural Needle Insertion
Synera™ for Epidural Needle Insertion
We hypothesized that the analgesic effect of Synera™ analgesic patch would be superior to traditional infiltration with lidocaine for pain of epidural needle insertion in laboring parturients.
- Trial name
- NCT00564785
- Testing
- Synera(TM)
- Where
- United States
- Volunteers
- 33 people
- Sponsor
- IWK Health Centre
Abdominal Neoplasm, Thoracic Neoplasm
Ultrasound-assisted Thoracic Epidural Catheter Insertion
The aim of the present study is to access the success rate of ultrasound-guided thoracic epidural catheter insertion, using fluoroscopy.
- Trial name
- NCT03890640
- Testing
- Ultrasound-guided TECI
- Where
- South Korea
- Volunteers
- 38 people
- Sponsor
- Asan Medical Center
Epidural Placement
BrightPoint Reflectometer Device Study
Participants are being asked to participate in this study because they are having an epidural placed for labor. This human clinical trial has been designed to evaluate the use of the BrightPoint Reflectometer Device (AKA…
- Trial name
- NCT05616299
- Testing
- BrightPoint
- Where
- United States
- Volunteers
- 3 people, healthy volunteers welcome
- Sponsor
- University Hospitals Cleveland Medical Center
Epidural Analgesia for Labour and Delivery
Cross-legged Versus Traditional Sitting Position for the Success of Epidural Analgesia During Labor
The success of an epidural analgesia catheter placement depends on the parturient position. A poor posture can increase the number of punctures, patient discomfort, and risk of complications.
- Trial name
- IP3 (NCT04754282)
- Testing
- Position of labouring women for epidural analgesia catheter placement : Traditional Sitting Position (TSP), Position of labouring women for epidural analgesia catheter placement : Cross-legged Sitting Position (CSP)
- Where
- France
- Volunteers
- 457 people
- Sponsor
- Assistance Publique - Hôpitaux de Paris
Anesthesia
Epidural Waveforms: Pressure Transducer vs CompuFlo
The purpose of this single arm, open label study will be to compare and evaluate the sensitivity and specificity of CompuFlo to detect epidural pulse waveforms (EPW) to assess the correct placement of the catheter in the epidural…
- Trial name
- NCT04240197
- Testing
- CompuFlo
- Where
- Italy
- Volunteers
- 40 people
- Sponsor
- European e-Learning School in Obstetric Anesthesia
Pain, Postoperative, Pain, Chronic
Fluoroscopy-guided Versus Traditional Placement of Epidural Catheters
This is a prospective, randomized, controlled, and single blinded study. All work performed at Dartmouth-Hitchcock Medical Center, a tertiary care and level one trauma center for the state of New Hampshire with 28 operative…
- Trial name
- NCT02678039
- Testing
- Fluoroscopy, Traditional
- Where
- United States
- Volunteers
- 100 people
- Sponsor
- Dartmouth-Hitchcock Medical Center
Movement of Thoracic and Lumbar Skin
How Much Can the Thoracic and Lumbar Skin Slide?
The investigators want to determine how much the skin on the back can move left to right of the midline and also up and down, in subjects presenting for procedure or in healthy volunteers.
- Trial name
- NCT02105363
- Testing
- measure of skin movement on surface of the back, Measurement of skin movement on surface of back
- Where
- United States
- Volunteers
- 400 people, healthy volunteers welcome
- Sponsor
- Rutgers, The State University of New Jersey
Lumbar Spine Surgery
Lumoptik BRIGHTPOINT Reflectometer Device for Lumbar Epidural Placement
The goal of this clinical trial is to test the BrightPoint Epidural device as the first system to use multispectral reflectometry to find the epidural space in lumbar neuraxial procedures requiring epidural needle.
- Trial name
- NCT06020508
- Testing
- Group 1 - Lumoptik BrightPoint Epidural Device
- Where
- United States
- Volunteers
- 36 people, healthy volunteers welcome
- Sponsor
- Hospital for Special Surgery, New York
Epidural Analgesia
Efficacy and Safety of Electrical Stimulation-guided Epidural Analgesia for Vaginal Delivery
Forty pregnant women (36 to 41 weeks gestation) will randomly allocate to two groups. Groups will be defined based on the method used to identify the epidural space for epidural anesthesia: the loss of resistance group (n=20) and…
- Trial name
- NCT03161717
- Testing
- Epidural electrical stimulation (EES), Loss of resistance (LOR)
- Where
- South Korea
- Volunteers
- 40 people, healthy volunteers welcome
- Sponsor
- Sang Sik Choi
Epidural Placement
CompuFlo CathCheck
The purpose of this study is to determine if the Compuflo CathCheck system is equivalent to an epidurogram in determining epidural catheter location (in or outside the epidural space), using the epidurogram as the gold standard.
- Trial name
- NCT06460155
- Testing
- 3 methods intervention
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- University of Minnesota
Pregnant, Labor
Lidocaine Patch for Relief of Pain During Epidural Placement in Laboring Patients
Infiltration of the skin with lidocaine is standard practice prior to lumbar epidural placement in laboring parturients1. Skin infiltration, although brief, can be very stressful and painful for patients.2 This initial discomfort…
- Trial name
- NCT01307839
- Testing
- 5% lidocaine patch
- Where
- United States
- Sponsor
- Loma Linda University