Dural Puncture Epidural Vs Standard Epidural Technique in Parturient Receiving Continuous Labour Epidural Infusion
Dural Puncture Epidural Vs Standard Epidural Technique in Parturient Receiving Continuous Labour Epidural Infusion: a Randomized Controlled Trial
Aga Khan University
38 participants
Nov 28, 2024
INTERVENTIONAL
Conditions
Summary
The goal of this study is to evaluate the quality and safety of labor analgesia by comparing the use of Dural puncture epidural technique to Standard epidural technique while maintaining labor analgesia by means of continuous epidural infusion in parturient. The main questions it aims to answer are * Effectiveness and quality of labor analgesia * Frequency of catheter adjustments * Need for catheter replacements * Incidence of failed regional anesthesia requiring conversion to general anesthesia
Eligibility
Inclusion Criteria6
- Nulliparous / Multiparous women
- Age >18 years
- ASA 1 \& 2
- Singleton vertex presentation
- Gestational age 37-42 weeks
- Parturient with established labor and pain score ≥ 3
Exclusion Criteria9
- Major cardiac disease
- History of chronic pain
- Chronic opioid user
- Platelet count < 70 x 109/L
- spinal cord anomalies
- Use of anticoagulants
- Allergic to local anesthetics
- Patients with preeclampsia/ eclampsia
- Known fetal anomalies
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Interventions
The Dural puncture epidural technique is done by assessing the epidural space using the Touhy needle and puncturing the dura matter with a finer needle.
The Standard Epidural Technique is usually performed by identifying the epidural space using the loss of resistance technique and threading the epidural catheter in the epidural space for administration of analgesic drugs.
Locations(1)
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NCT06653036