Dural Puncture Epidural Vs Standard Epidural Technique in Parturient Receiving Continuous Labour Epidural Infusion
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: Dural puncture epidural, Standard Epidural Technique.
- Who it may be relevant to
- Registry conditions: Quality Health Care. Basic parameters: from 18 years · Female.
- 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
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Dural Puncture Epidural Vs Standard Epidural Technique in Parturient Receiving Continuous Labour Epidural Infusion: a Randomized Controlled Trial
Overview
The goal of this study is to evaluate the quality and safety of labor analgesia by comparing the use of Dural puncture epidural technique to Standard epidural technique while maintaining labor analgesia by means of continuous epidural infusion in parturient. The main questions it aims to answer are * Effectiveness and quality of labor analgesia * Frequency of catheter adjustments * Need for catheter replacements * Incidence of failed regional anesthesia requiring conversion to general anesthesia
Interventions
- Procedure Dural puncture epidural
The Dural puncture epidural technique is done by assessing the epidural space using the Touhy needle and puncturing the dura matter with a finer needle. - Procedure Standard Epidural Technique
The Standard Epidural Technique is usually performed by identifying the epidural space using the loss of resistance technique and threading the epidural catheter in the epidural space for administration of analgesic drugs.
Primary outcome measures
- Pain Assessment [Time frame: At 30 minutes of initiation of infusion]
- Need for catheter adjustment [Time frame: At 30 minutes of initiation of infusion]
Secondary outcome measures (2)
- Patient Satisfaction [Time frame: At 30 minutes of initiation of infusion]
- Assessment of the level of motor Block [Time frame: At 30 minutes after the initiation of infusion]
Eligibility criteria
Inclusion criteria
- Nulliparous / Multiparous women
- Age >18 years
- ASA 1 \& 2
- Singleton vertex presentation
- Gestational age 37-42 weeks
- Parturient with established labor and pain score ≥ 3
Exclusion criteria
- Major cardiac disease
- History of chronic pain
- Chronic opioid user
- Platelet count < 70 x 109/L
- spinal cord anomalies
- Use of anticoagulants
- Allergic to local anesthetics
- Patients with preeclampsia/ eclampsia
- Known fetal anomalies
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Diagnostic
Study locations
Pakistan · 1 center
- Aga Khan University — Karachi
Identifiers
NCT: NCT06653036 · 2024-10424-31009