Erector Spinae Plane Block Versus Classic Epidural Analgesia in Labor

Mongi Slim Hospital

Status: Unknown

Conditions: Analgesia in Labor

Treatments: Procedure: ESP Block With Bupivacain; Procedure: Epidural Analgesia

Study type: Interventional

Funder types: Other

Identifiers

NCT04776512

ESP versus Epidural analgesia

Details and patient eligibility

About

Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery.

At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups:

• ESP group: patients will receive ultrasound guided, bilateral ESP Block performed at the level of the 3 rd Lumbar transverse process.
• Epidural Analgesia Group: Patients will have a classic lumbar continuous epidural analgesia.

Full description

Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery.

At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups:

• ESP group: patients will receive ultrasound guided, bilateral ESP Block performed at the level of the 3 rd Lumbar transverse process.
• Epidural Analgesia Group: Patients will have a classic lumbar continuous epidural analgesia.

For the first group: 20 ml of 0,375% isobaric Bupivacain solution will be injected bilaterally under ultrasound direct vision.

Concerning the second group, patients will have a continuous injection of 0,125% Bupivacain solution associated to 0,25 mcg of Sufentanil/ml through an epidural catheter in the L3-L4 or L4-L5 intervertebral space.

For the 2 groups, analgesia will be assessed during all the labor period hourly using the Visual Analog pain Score (VAS).

Enrollment: 50 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Full termed parturients admitted for vaginal delivery
• singleton pregnancy
• No contraindications to perimedullar analgesia techniques

Exclusion criteria

• Indication to Cesarean section during labor period

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Epidural Analgesia

Experimental group

Description:

Patients of this group Will receive an epidural analgesia through a lumbar epidural catheter

Treatment:

Procedure: Epidural Analgesia

ESP Block

Experimental group

Description:

Bilateral ESP block performed at the level of the 3 rd Lumbar transverse process.

Treatment:

Procedure: ESP Block With Bupivacain