Clinical trials: Epidural Placement
Administration Methods of Labor Analgesia
Epidural Loading Prior to Catheter Insertion
This study explores the potential for a more rapid onset of pain relief when drug administration is performed through the epidural needle, a technique of epidural loading that provides a rapid and reliable level of labor…
- Trial name
- NCT02883283
- Testing
- Epidural loading dose, Epidural catheter, Epidural needle
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- Ohio State University
Pain, Anxiety
Study of Use of Synera for Pain During Local Skin Infiltration With Lidocaine Before Epidural Placement
Local infiltration with lidocaine prior to epidural placement for cesarean section, although brief, can be painful. This pain can lead to increased anxiety and distress, adversely affecting patient's overall experience.
- Trial name
- NCT01775605
- Testing
- Synera
- Where
- United States
- Volunteers
- healthy volunteers welcome
- Sponsor
- Northwell Health
Pregnancy
Does Ultrasound Help With Placement of Labor Analgesia in Pregnant Patients?
The investigators believe that ultrasound guided CSE technique will accurately place the epidural needle in the midline position compared to epidural needle placement via palpation of anatomical landmarks.
- Trial name
- NCT02207972
- Testing
- Use of Ultrasound, No ultrasound used
- Where
- United States
- Volunteers
- 46 people, healthy volunteers welcome
- Sponsor
- St. Luke's-Roosevelt Hospital Center
Satisfaction
Music During Labor Epidural Placement and Patient Satisfaction
Patient satisfaction is becoming increasingly important to hospital administrators as a metric for quality of patient care services because it is now being linked to reimbursements (Maher 2015).
- Trial name
- NCT02734056
- Testing
- Music, Control
- Where
- United States
- Volunteers
- 100 people, healthy volunteers welcome
- Sponsor
- Brigham and Women's Hospital
Labor Pain
Intravenous Terbutaline to Facilitate Labor Epidural Catheter Placement
Labor pain is a major factor in making the placement of an epidural catheter difficult. The epidural, once in place and dosed, eventually decreases the parturient's pain.
- Trial name
- NCT01651962
- Testing
- Terbutaline, Fentanyl, 0.9% NaCl
- Where
- 2 sites in United States
- Volunteers
- 250 people
- Sponsor
- Kai Schoenhage
Labor Pain
Usefulness of the Tsui Test in Combined Spinal-Epidural Analgesia in Labour
Combined spinal epidural anesthesia (CSE) is a very effective technique to provide labor analgesia. One of the disadvantages of this technique is the delay in recognizing an error in the position of the epidural catheter because…
- Trial name
- NCT00464841
- Testing
- Combined spinal epidural, Tsui Test for intrathecal catheter
- Where
- Canada
- Volunteers
- 14 people, healthy volunteers welcome
- Sponsor
- Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Obstetric Pain, Anesthesia, Local
The Use of Electrical Stimulation for Determination of Epidural Catheter Placement
The aim of this study is to address the problem of epidural failure. The investigators theorize epidural failure can be due to inappropriate catheter movement and this may be related to the length of which the epidural catheter…
- Trial name
- NCT06055686
- Testing
- Electrical Epidural Stimulation Test
- Where
- United States
- Volunteers
- 50 people
- Sponsor
- Stanford University
Anxiety, Pain
Mindful Meditation for Epidural Catheter Placement
Given the high prevalence of neuraxial analgesia use during labor and the anxiety associated with these procedures, a method to decrease this anxiety could benefit millions of laboring women each year.
- Trial name
- NCT04687085
- Testing
- 10 minute mindful meditation recording
- Where
- United States
- Volunteers
- 100 people, healthy volunteers welcome
- Sponsor
- Brigham and Women's Hospital
Epidural Anesthesia, Catheterisation
Epidural Catheter Placement Techniques by Anesthesia Residents: Success and Complications
This prospective observational study aims to evaluate the impact of epidural catheter placement techniques - loss of resistance (LOR) and hanging drop (HD) - on first-attempt success rates and procedural complications among…
- Conditions
- Epidural Anesthesia, Catheterisation, Education, Postoperative Pain
- Trial name
- EPİ-TECH (NCT07573007)
- Testing
- epidural catheter placement
- Where
- Turkey (Türkiye)
- Volunteers
- 440 people
- Sponsor
- Marmara University Pendik Training and Research Hospital
Postoperative Pain, Postoperative Complications
PERiX: Comparison of Efficacy Between Placement of Epidural Catheters X-ray Guided and LOS Technique
The use of epidural catheters for postoperative analgesia in pancreatic surgery is recommended by the guidelines of the ERAS society.
- Conditions
- Postoperative Pain, Postoperative Complications, Pancreatic Cancer, Haemodynamic Instability
- Trial name
- PERiX (NCT03685370)
- Testing
- LOS, X-ray placement
- Where
- Italy
- Volunteers
- 154 people
- Sponsor
- Azienda Ospedaliera Universitaria Integrata Verona
Labor Pain
Development and Validation of Metrics Lumbar Labor Epidural Catheter Placement
Procedural skills play an important role in anaesthetic expertise. More focused training and assessment of procedural skills will be needed in the future as training moves from an apprenticeship based training system to…
- Trial name
- NCT02179879
- Testing
- Video validation
- Where
- Ireland
- Volunteers
- 20 people
- Sponsor
- Cork University Hospital
Postoperative Pain
Efficacy of an Epidural Versus a Fascia Iliaca Compartment Catheter After Hip Surgery
The investigators are investigating two ways of treating pain after hip surgery. One way is though a thin tube (called a catheter), and it is placed into the back so that pain-numbing drugs can reach the nerves near the backbone.
- Trial name
- NCT01835106
- Testing
- Epidural catheter is used postoperatively, Fascia iliaca compartment catheter is used postoperatively
- Where
- United States
- Sponsor
- Boston Children's Hospital
Labor Pain
Epidural Placement Using Handheld Ultrasound Device vs. Traditional Landmark Palpation
Ultrasound is widely in uses for vascular, nerve block and sometimes neuraxial block. The purpose of the study is to evaluate the impact of a handheld ultrasound device on the time to complete labor epidural placement and success…
- Trial name
- NCT04020042
- Testing
- Ultrasound image guidance, Landmark palpation
- Where
- United States
- Volunteers
- 74 people
- Sponsor
- University of Texas Southwestern Medical Center
Anxiety, Pain
Presence of a Companion During Performance of Neuraxial Labor Analgesia
The purpose of the study is to evaluate if maternal anxiety is improved when a parturient gets her choice with regard to the presence of a companion during epidural catheter placement for labor analgesia.
- Conditions
- Anxiety, Pain, Health Knowledge, Attitudes, Practice
- Trial name
- Companion (NCT02982213)
- Testing
- Companion Present
- Where
- United States
- Volunteers
- 150 people
- Sponsor
- Northwestern University
Urinary Retention, Urinary Tract Infection (Diagnosis)
How the Method of Bladder Emptying After Epidural Placement in Labor Affects Postpartum Voiding
At least ten percent of patients have postpartum urinary retention or difficulty urinating after birth, which can cause incontinence and other urinary problems long-term.
- Conditions
- Urinary Retention, Urinary Tract Infection (Diagnosis), Postpartum Acute Urinary Retention, Postpartum Care
- Trial name
- NCT07125326
- Testing
- Intermittent catheterization, Continuous catheterization
- Where
- United States
- Volunteers
- 300 people
- Sponsor
- University of Pittsburgh