Clinical trials: Epidural Placement
Epidural Analgesia for Labour and Delivery
M-mode Ultrasonography for Epidural Catheter Identification and Confirmation of Correct Catheter Position
In France, 80% of women choose epidural analgesia for delivery and birth. The localization of the epidural space is classically achieved by loss of resistance to saline.
- Trial name
- ETEMERC (NCT05897814)
- Testing
- Location of the epidural analgesia catheter
- Where
- France
- Volunteers
- 100 people
- Sponsor
- Assistance Publique - Hôpitaux de Paris
Labor Pain
Use of Ultrasound Guidance to Assist With Labor Epidural Placement in Patients With a BMI ≥40
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.
- Trial name
- NCT02984267
- Testing
- Ultrasound, Palpation
- Where
- United States
- Volunteers
- 18 people
- Sponsor
- Thomas J. Vernon
Intubation Skill, Laryngeal Mask Airway Insertion Skill
Evaluation of Learning Curve of Manual Skills in Anesthesia Residents
To determine number of cases need to perform in new anesthesia residents to be proficient in manual skills.
- Conditions
- Intubation Skill, Laryngeal Mask Airway Insertion Skill, Spinal Anesthesia Skill, Epidural Anesthesia Skill
- Trial name
- NCT01236183
- Where
- Thailand
- Volunteers
- 24 people
- Sponsor
- Mahidol University
Rib Fractures, Wounds and Injuries
Comparison of Epidural and Paracostal Catheter Placement for Pain Control After Rib Fractures
The investigators plan to compare the incidence of successful placement of epidural pain catheters versus paracostal catheters for the control of pain and prevention of pulmonary complications for adult trauma patients with blunt…
- Trial name
- NCT02295098
- Testing
- Thoracic epidural catheter placement, Paracostal catheter placement
- Where
- United States
- Volunteers
- 36 people
- Sponsor
- University of Colorado, Denver
Neuraxial Anesthesia Charting
Tracking Attempts of CSE, Epidural and Spinal Insertions (TRACES)
The goal of this study is to compare observed neuraxial (Epidural, spinal, combined spinal-epidural) insertion attempts with actual documented attempts in anesthesia providers (staff, residents and fellows) at one maternal…
- Trial name
- TRACES (NCT04862611)
- Where
- Canada
- Volunteers
- 220 people, healthy volunteers welcome
- Sponsor
- University of British Columbia
Patients Undergoing Thoracic Surgery, Patients Undergoing Upper Abdominal Surgery
Accuracy of the Thoracic Epidural Catheter Insertion Confirmed by Fluoroscopic Imaging
In patients scheduled for thoracic surgery or upper abdominal surgery, investigators will determine the accuracy of the epidural catheter placement by using fluoroscopic imaging.
- Trial name
- NCT01764932
- Testing
- Fluoroscopic imaging
- Where
- United States
- Volunteers
- 60 people
- Sponsor
- Chicago Anesthesia Pain Specialists
Bladder Cancer, Postoperative Pain
Comparing Rectus Sheath Catheter to Epidural Post Cystectomy
This is a prospective randomised controlled trial that will compare the outcomes of rectus sheath catheters to epidurals in patients who have undergone a cystectomy, via a lower midline abdominal incision for bladder cancer.
- Trial name
- NCT02572804
- Testing
- Epidural, Rectus Sheath Catheters
- Where
- Canada
- Volunteers
- 160 people
- Sponsor
- Vancouver Coastal Health
Back Pain, Epidural Analgesia, Obstetric
Ultrasound-Guided Landmark and Epidural Site Pain
Historically, women who have chronic back pain after pregnancy have attributed the cause to the epidural procedure. While many studies have shown no greater incidence of generalized post-partum back pain in those who received an…
- Trial name
- NCT02813681
- Testing
- US-epidural SVD, Spontaneous vaginal delivery without an Epidural
- Volunteers
- 80 people
- Sponsor
- The University of Texas Medical Branch, Galveston
Post-Dural Puncture Headache
EPiMAP Obstetrics: European Practices in the Management of Accidental Dural Puncture in Obstetrics
The aims of EPiMAP Obstetrics are: to identify risk factors for failure of epidural blood patch in the obstetric population for management of post dural puncture headache.
- Trial name
- EPiMAP (NCT02362828)
- Where
- Sweden
- Volunteers
- 1,110 people
- Sponsor
- European Society of Anaesthesiology
Labor Pain
Does Ultrasound Scanning of the Lumbar Spine Improve Patient Satisfaction and the Ease of Insertion Epidurals?
Ultrasound scanning of the back has been shown to increase success when used to guide epidural catheter insertion. However, this technique is not applied widely in clinical practice.
- Trial name
- NCT00996905
- Testing
- Portable ultrasound machine
- Where
- Canada
- Volunteers
- 128 people, healthy volunteers welcome
- Sponsor
- Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Pregnancy, Pain
VerTouch Device: A Prospective Randomized Controlled Trial
This study will compare the VerTouch device to palpation and ultrasound (US) techniques used to identifying the anatomic landmarks and optimal location for neuraxial access.
- Trial name
- NCT04630171
- Testing
- Group #1: VerTouch utilized for identification of site for labor epidural or spinal anesthesia procedure, Group #2: Ultrasound (US) utilized for identification of site for labor epidural or spinal anesthesia procedure, Group #3: Control group, palpation utilized for identification of site for labor epidural or spinal anesthesia procedure
- Where
- United States
- Volunteers
- 86 people
- Sponsor
- Northwestern University
Epidural Anesthesia
Real-time Ultrasound Guided Labor Epidural Placement
Specific Aim: The purpose of this study is to determine if labor epidural placement using real-time (concurrent) ultrasound guided placement is superior to the conventional "standard" epidural technique without the use of…
- Trial name
- NCT00811304
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- University of Pittsburgh
Phantom Limb
Epidural Spinal Cord Stimulation for Sensory Restoration and Phantom Limb Pain in Upper-Limb Amputees
Individuals with upper-limb amputation usually have intact nerves within the residual limb, and studies have demonstrated that electrical stimulation of those nerves can produce sensations that appear to emanate from the…
- Trial name
- PhantomLimb (NCT02684201)
- Testing
- Boston Scientific Stimulator Lead
- Where
- United States
- Volunteers
- 4 people
- Sponsor
- Lee Fisher, PhD
Labor Pain
Characteristics of the Tsui Test and Pressure Waveform to Confirm Epidural Catheter Placement in Parturients With BMI ≥50 kg/m2
The prevalence of obesity has increased worldwide, and the anesthetic care of patients with obesity remains a challenge for providers despite advances.
- Trial name
- NCT05361512
- Testing
- Tsui test, epidural waveform analysis
- Where
- Canada
- Volunteers
- 20 people
- Sponsor
- Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Anesthesia
Loss of Resistance, w/wo Stimulation, For Epidural Placement
The purpose of this randomized, observer-blinded, investigative trial is to determine if the use of electrical stimulation, compared to the traditional loss of resistance technique alone, improves the success rate of epidural…
- Trial name
- NCT03087604
- Testing
- Thoracic epidural block, Electrical Nerve stimulation, Solution For Thoracic epidural block
- Where
- United States
- Volunteers
- 100 people
- Sponsor
- Wake Forest University Health Sciences
Pregnancy
Does Ultrasound Help Junior Anesthesia Residents With Placement of Labor Analgesia in Pregnant Patients
The investigators believe that ultrasound guided CSE technique will help junior resident rotating for the first time on the labor and delivery floor to place more accurately the epidural needle in the midline position as compared…
- Trial name
- NCT02747238
- Testing
- Ultrasound, No ultrasound, Epidural infusion
- Where
- United States
- Volunteers
- 32 people, healthy volunteers welcome
- Sponsor
- Icahn School of Medicine at Mount Sinai
Labor Pain
Comparison of Ultrasound Guided Low Epidural Catheter Placement With Standard Epidural Catheter Placement
1. labor epidural quite often require bolus supplementation for better pain control control. Quite often this is due to sparing of sacral nerves. 2.
- Trial name
- NCT01182220
- Where
- United States
- Volunteers
- 90 people
- Sponsor
- University of Chicago
Thoracic Epidural Anesthesia
CompuFlo Thoracic Epidural Study
Traditionally, loss-of-resistance (LOR) to air or saline with a special ground-glass syringe is the technique used to identify epidural space, but failure rates up to 30% have been reported using this technique for thoracic…
- Trial name
- NCT03826186
- Testing
- Traditional (loss-of-resistance technique) thoracic epidural placement, CompuFlo thoracic epidural placement
- Where
- United States
- Volunteers
- 120 people
- Sponsor
- YATISH SIDDAPURA RANGANATH
Hypotension, Labor Complication
Pre-epidural Sequential Compression Devices (SCDs) to Prevent Hypotension During Labor
When hypotension is related to epidural placement, this can occur within 15-60 minutes after placement. The purpose of this study is to build upon this preliminary work and to use a randomized controlled trial to examine the…
- Trial name
- NCT05250960
- Testing
- SCD
- Where
- United States
- Volunteers
- 109 people, healthy volunteers welcome
- Sponsor
- TriHealth Inc.
Labor and Delivery
Epidural Loading: High Volume, Low Concentration
This prospective, randomized, single blinded control trial will investigate the effects of epidural loading with a high volume, low concentration local anesthetic solution via the epidural needle versus the epidural catheter.
- Trial name
- NCT02803450
- Testing
- Epidural needle, Catheter Administration, Standard of Care Epidural Administration
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- Ohio State University