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Recruiting NCT05946850

Caudal Analgesia & Anticoagulated Patient

Observational Lumbar Pain Syndrome Anticoagulants and Bleeding Disorders

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Caudal analgesia.
Who it may be relevant to
Registry conditions: Lumbar Pain Syndrome, Anticoagulants and Bleeding Disorders. Basic parameters: 20 years — 99 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Canada
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Caudal Analgesia in Anticoagulated Chronic Pain Patients

Overview

Caudal analgesia is an effective intervention for lumbosacral pain. Some chronic pain patients take anticoagulants for vasculopathy treatment. Anticoagulation limits the use of caudal analgesia because of the risk of epidural bleeding. Caudal analgesia may be safe and effective in anticoagulated chronic pain patients. Quantitative analysis of prospective clinical data. Evaluation of caudal analgesia efficacy and safety in anticoagulated chronic pain patients. Analysis of outcome, and complications.

Detailed description

Caudal analgesia is an effective interventional therapy for chronic lumbosacral pain. Some chronic pain patients take anticoagulants for vasculopathy treatment. Anticoagulation limits the use of caudal analgesia because of the risk of epidural bleeding. Anticoagulation may be discontinued briefly, to allow caudal injection. Interruption of anticoagulation may be difficult and dangerous for some high-risk patients. Caudal analgesia may be safe and effective in anticoagulated chronic pain patients.

Quantitative analysis of prospective clinical data. An evaluation of caudal analgesia safety in anticoagulated chronic pain patients. An analysis of treatment outcome, and complications.

Interventions

  • Procedure Caudal analgesia
    Caudal analgesia for chronic lumbosacral pain

Primary outcome measures

  • Pain score, objective measurement using the validated Numeric Pain Rating scale [Time frame: 12 weeks]

Eligibility criteria

Inclusion criteria

  • adult chronic pain patients who undergo caudal analgesia

Exclusion criteria

  • chronic pain patients who refuse caudal analgesia

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Observational model
Cohort

Study locations

Canada · 1 center
  • Salem Anaesthesia Pain Clinic — Surrey

Publications

  • Manchikanti L, Boswell MV, Singh V, Benyamin RM, Fellows B, Abdi S, Buenaventura RM, Conn A, Datta S, Derby R, Falco FJ, Erhart S, Diwan S, Hayek SM, Helm S, Parr AT, Schultz DM, Smith HS, Wolfer LR, Hirsch JA; ASIPP-IPM. Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician. 2009 Jul-Aug;12(4):699-802. PMID 19644537

Identifiers

NCT: NCT05946850 · Salem2018 Caudal Blk Anticoag

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗