Patient Controlled Epidural Analgesia Versus Continuous Epidural Infusion: Obstetrical and Neonatal Outcomes
| Status: | Completed |
|---|---|
| Conditions: | Chronic Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | March 2006 |
| End Date: | December 2010 |
| Contact: | Christine Preslicka, RN |
| Email: | cpreslicka@memorialcare.org |
| Phone: | 562-933-2755 |
Patient Controlled Epidural Infusion Vs. Continuous Epidural Infusion: Obstetrical and Neonatal Outcomes
The investigators intend to perform a large randomized trial using standardized obstetrical
and anesthetic practice at a single institution to determine the effects of patient
controlled epidural analgesia on obstetrical and neonatal outcomes.
and anesthetic practice at a single institution to determine the effects of patient
controlled epidural analgesia on obstetrical and neonatal outcomes.
Women in their first pregnancy in spontaneous labor desiring epidural anesthesia will be
randomized to one of three groups. Each group will initially be given intrathecal bolus.
Before and 30 minutes after the initial bolus, the patient's verbal pain score will be
recorded. The continuous epidural infusion group (Group I) will be started immediately on a
continuous pump infusion.They will also have the opportunity to give a PCA bolus Finally,
the patient controlled epidural group (Group III) will be able to give a bolus every 20
minutes with no continuous infusion. Each group will also be allowed 2 boluses,by the
anesthesia staff in the event that their pain is not controlled by the indicated study
medication. An hourly evaluation of verbal pain score and maternal mobility will be
recorded. After delivery, obstetrical outcomes, neonatal outcomes, anesthesia interventions,
and patient satisfaction questionnaires will then be collected.
randomized to one of three groups. Each group will initially be given intrathecal bolus.
Before and 30 minutes after the initial bolus, the patient's verbal pain score will be
recorded. The continuous epidural infusion group (Group I) will be started immediately on a
continuous pump infusion.They will also have the opportunity to give a PCA bolus Finally,
the patient controlled epidural group (Group III) will be able to give a bolus every 20
minutes with no continuous infusion. Each group will also be allowed 2 boluses,by the
anesthesia staff in the event that their pain is not controlled by the indicated study
medication. An hourly evaluation of verbal pain score and maternal mobility will be
recorded. After delivery, obstetrical outcomes, neonatal outcomes, anesthesia interventions,
and patient satisfaction questionnaires will then be collected.
Inclusion Criteria:
- Early labor
- Nulliparous
Exclusion Criteria:
- Inductions
- Breech
- Contraindications to regional anesthesia
We found this trial at
1
site
Click here to add this to my saved trials
