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A Comparison of Meperidine for Post-Cesarean Analgesia: Bolus Versus Infusion and Bolus

M

Mercy Research

Status

Completed

Conditions

Cesarean Section

Treatments

Drug: Meperidine

Study type

Interventional

Funder types

Other

Identifiers

NCT01741259
371047-1

Details and patient eligibility

About

The purpose of this study is to determine if epidural meperidine administered by patient-controlled bolus button is equivalent to a low dose infusion plus patient-controlled bolus.

Full description

The objective of this study is to compare the efficacy, patient satisfaction, and incidence of side effects of meperidine patient-controlled epidural analgesia (PCEA) with and without a basal infusion for post-cesarean section analgesia.

Enrollment

273 patients

Sex

Female

Ages

18 to 50 years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria are as follows:

  • Over the age of 18
  • Undergoing non-urgent, non-emergent cesarean section at Mercy Hospital St. Louis

Exclusion Criteria:

  • non-English speaking
  • mentally disabled
  • allergy to meperidine
  • seizure disorder
  • renal impairment defined as a serum creatinine >0.8 mg/dL or patients who give a history of renal impairment
  • fever greater than 101
  • patients receiving low molecular weight heparin at any dose or unfractionated heparin at doses greater than 5000 u subcutaneous twice daily
  • pre-eclampsia requiring magnesium due to post-partum room assignment
  • obstructive sleep apnea due to post-partum room assignment
  • post-partum hemorrhage due to post-partum room assignment

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

273 participants in 2 patient groups

Meperidine PCEA
Experimental group
Description:
Epidural Meperidine (5mg/ml) bolus of 20 mg, lockout of 30 min, hourly limit of 50 mg.
Treatment:
Drug: Meperidine
Meperidine PCEA with basal
Experimental group
Description:
Epidural meperidine (5mg/ml) basal rate of 10 mg/hr, bolus 20 mg, lockout 30 min, hourly limit 40 mg
Treatment:
Drug: Meperidine

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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