EpiConCES - Epidural Lidocaine for Conversion to CaEsarean Section

University Hospital, Clermont-Ferrand

Status: Unknown

Conditions: Pregnant Women>37SA

Treatments: Procedure: Caesarean section; Device: Epidural catheter; Drug: Lidocaine 2% adrénalinée

Study type: Interventional

Funder types: Other

Identifiers

NCT02895022

2016-000224-26 (Other Identifier)

CHU-0271

Details and patient eligibility

About

The need to resort to a midwifery course work in cesarean is a common practice. Epidural analgesia for labor analgesia is practiced in 90% of women in obstetric work, as when the cesarean decision is taken course work in practice and the recommendations are to use the epidural catheter in place to convert the epidural analgesia in epidural anesthesia by re-injecting a local anesthetic on the catheter. General anesthesia is reserved only cases of extreme urgency and cons-indications for regional anesthesia as a purveyor of high maternal morbidity and mortality.

The initial assumption is that the 2% lidocaine with epinephrine is the optimal and recommended local anesthetic solution.

Full description

There is a real variability in the volume administered by practitioners repository fault.

The main objective is to determine the ED95 dose of 2% lidocaine with epinephrine injected into the epidural catheter for which it does not arise from failure to surgical anesthesia for cesarean during labor.

The secondary objectives are to determine the failure risk factors, the hemodynamic consequences related to the volume administered and evaluate maternal satisfaction.

Enrollment: 40 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pregnant > 37SA
• Between 150 and 190cm
• IMC between 20 and 40
• Single pregnancy
• Elective cesarean indication during obstetric labor

Exclusion criteria

• Presentation of siege
• Extreme and semi emergency caesarean indication

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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40 participants in 1 patient group

Lidocaine 2% adrénalinée

Experimental group

Description:

The main objective is to determine the ED95 dose of 2% lidocaine with epinephrine injected into the epidural catheter for which it does not arise from failure to surgical anesthesia for cesarean during labor.

Treatment:

Device: Epidural catheter

Procedure: Caesarean section

Drug: Lidocaine 2% adrénalinée