Dural Puncture Epidural Vs Standard Epidural Technique in Parturient Receiving Continuous Labour Epidural Infusion

Aga Khan University

Status: Enrolling

Conditions: Quality Health Care

Treatments: Procedure: Standard Epidural Technique; Procedure: Dural puncture epidural

Study type: Interventional

Funder types: Other

Identifiers

NCT06653036

2024-10424-31009

Details and patient eligibility

About

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

Enrollment: 38 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 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 criteria

• 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

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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38 participants in 2 patient groups

DPE group

Active Comparator group

Description:

Participants who receive the dural puncture epidural (DPE) for labor analgesia.

Treatment:

Procedure: Dural puncture epidural

SET group

Active Comparator group

Description:

Participants who will be receiving standard epidural technique (SET) for labor analgesia.

Treatment:

Procedure: Standard Epidural Technique