Obstetric Placement Study Using EST

Description

Combined spinal-epidural (CSE) is an established technique for providing labour analgesia to obstetric patients which provides rapid onset but unsustained analgesia. The epidural catheter can be used to extend and provide continuous pain relief, however during single-segment needle-through-needle CSE, the catheter is untested. This study aims to confirm placement of epidural catheters of anesthesia through the epidural stimulation test (EST) which was first described by the PI of the study for confirming placement of epidural catheters approximately 20 years ago.

Conditions

Obstetric Pain, Anesthesia, Local

Study Overview

Study Details

Study overview

Combined spinal-epidural (CSE) is an established technique for providing labour analgesia to obstetric patients which provides rapid onset but unsustained analgesia. The epidural catheter can be used to extend and provide continuous pain relief, however during single-segment needle-through-needle CSE, the catheter is untested. This study aims to confirm placement of epidural catheters of anesthesia through the epidural stimulation test (EST) which was first described by the PI of the study for confirming placement of epidural catheters approximately 20 years ago.

Electrical Epidural Stimulation Test for Confirmation of Epidural Catheter Placement in Labouring Women

Obstetric Placement Study Using EST

Condition
Obstetric Pain
Intervention / Treatment

-

Contacts and Locations

Palo Alto

Lucille Packard Children's Hospital, Palo Alto, California, United States, 94304

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Females, 18 years and older
  • * American Society of Anesthesiologists physical status I or II
  • * Full-term pregnancy with request for epidural early in labour (i.e. Regular labor or C-Section)
  • * Contraindication to regional anesthesia
  • * Allergy or hypersensitivity to lidocaine, bupivacaine, or fentanyl
  • * Use of sedatives or opioids
  • * Abnormal vertebrae anatomy
  • * Neurological disorder with lumbar involvement
  • * Implanted electronic devices

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Stanford University,

Study Record Dates

2024-06