Utilizing Ultrasound for Residents as an Aid in Epidural Placement

Yale University

Status: Withdrawn

Conditions: Epidural Placement

Treatments: Device: Ultrasound Guided Epidural; Procedure: Standard Epidural

Study type: Interventional

Funder types: Other

Identifiers

NCT03378492

2000021722

Details and patient eligibility

About

This randomized controlled trial will evaluate the use of ultrasound as an aid for epidural placement in residents performing all epidural techniques under direct staff anesthesiologist supervision.

Full description

The purpose of this study is to assess the abilities of the "Accuro" to assist in lumbar epidural placement in patients. It is hypothesized that the use of the Accuro will result in an increase of first-attempt success rates, defined as successful epidural needle placement on the first needle insertion attempt.

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients presenting for vaginal delivery
• ASA-1, ASA-2, and ASA-3
• Patients with no known back deformities
• Ability to sit upright for epidural placement
• No prior lumbar surgery
• No allergies to ultrasound gel
• Pre-pregnancy BMI >= 30

Exclusion criteria

• Patients < 18 years of age

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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0 participants in 2 patient groups

Standard Epidural

Active Comparator group

Description:

Participants in this group will have epidurals placed using standard practice.

Treatment:

Procedure: Standard Epidural

Ultrasound Guided Epidural

Experimental group

Description:

Participants in this group will have epidurals placed using standard practice with the assistance of ultrasound.

Treatment:

Device: Ultrasound Guided Epidural