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Ultrasound Predictors of Difficulty in Performing Epidural Anesthesia for Labor in Pregnant Patients.

U

University of Padova

Status

Enrolling

Conditions

Epidural Catheterization

Treatments

Procedure: epidural catheter
Procedure: spine ultrasonography

Study type

Observational

Funder types

Other

Identifiers

NCT07056166
AOP3720

Details and patient eligibility

About

This is a prospective observational study conducted at the University Hospital of Padua. The goal is to identify ultrasound markers that can help predict whether placing an epidural catheter during labor will be difficult. Pregnant women who request epidural analgesia will undergo a quick ultrasound scan of their lower back before the procedure. The study will collect information such as age, weight, height, and spinal anatomy, as well as ultrasound measurements. This information will be compared with how easy or difficult it was to place the epidural. The study does not involve any experimental treatment and uses standard care procedures already in place. There are no additional risks or costs for participants.

Full description

This is a single-center, prospective observational study aimed at evaluating whether specific ultrasound measurements of spinal structures in pregnant women can predict technical difficulty in placing an epidural catheter during labor analgesia. All procedures performed are part of standard care and are routinely offered in the labor and delivery unit. Patients who consent to participate will undergo a lumbar ultrasound prior to epidural catheter placement. Data will be collected regarding anatomical and clinical characteristics, ultrasound findings, and procedural details. The study will run for two years or until the estimated sample size of 563 patients is reached. The results are intended to identify non-invasive predictors of challenging epidural placement, potentially improving patient safety and resource allocation.

Enrollment

563 estimated patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

-Inclusion Criteria: Pregnant women aged ≥18 years Candidates for epidural catheter placement for labor analgesia Provided written informed consent

Exclusion Criteria:

  • None

Trial design

563 participants in 1 patient group

Pregnant patients undergoing epidural placement for labor analgesia
Treatment:
Procedure: spine ultrasonography
Procedure: epidural catheter

Trial contacts and locations

1

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Central trial contact

Alessandro De Cassai, Medical Doctor

Data sourced from clinicaltrials.gov

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