Continuous Labor Epidural Catheter for Tubal Ligation Study

The University of Alabama at Birmingham

Status: Terminated

Conditions: Tubal Ligation; Bilateral Tubal Ligation

Treatments: Other: Spinal anesthetic; Other: Epidural anesthetic

Study type: Interventional

Funder types: Other

Identifiers

NCT00898443

F080829007

Details and patient eligibility

About

This study is to study the success rate of using the epidural catheter that was placed during the labor for the surgical anesthesia to perform a postpartum tubal ligation.

Enrollment: 18 patients

Sex: Female

Ages: 19 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) 1-3 postpartum women desiring Postpartum Bilateral Tubal Ligation (PPBTL) for infertility
• Functional epidural catheter placed for labor and delivery analgesia
• The epidural is still taped within 1cm of the original depth when it was functional for labor analgesia
• 1-45 years of age

Exclusion criteria

• ASA 4 status
• History of dural puncture ("wet tap") during initial epidural catheter insertion
• History of marginal or inadequate epidural analgesia for labor
• Cesarean section for delivery
• Examination demonstrates that the indwelling catheter has migrated more than 1 cm from the original depth when secured
• The end of indwelling epidural catheter appears to have not been capped appropriately or the cap was not maintained intact
• Prolonged sensory or motor block, bladder or anal sphincter dysfunction, nerve damage, inability to ambulate, post-dural puncture headache (PDHD), or seizures, during or after delivery and following cessation of the epidural catheter dosing
• Pseudocholinesterase deficiency
• Allergy to Nesacaine® (chloroprocaine) or lidocaine
• General anesthesia provided for delivery
• History of substance abuse disorder
• History of major psychiatric disorder
• Non-English reading/speaking participants

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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18 participants in 2 patient groups

Spinal Anesthetic Group

Other group

Description:

This group will receive spinal anesthetic for the surgical procedure and will serve as the control group for this study.

Treatment:

Other: Spinal anesthetic

Epidural Anesthetic Group

Experimental group

Description:

This is the experimental group for this study.

Treatment:

Other: Epidural anesthetic