Use of Ultrasound in Obstetric Neuraxial Analgesia and Anesthesia Data Base
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - 55 |
| Updated: | 4/2/2016 |
| Start Date: | January 2010 |
| End Date: | January 2012 |
| Contact: | Steven T Fogel, MD |
| Email: | fogels@health.missouri.edu |
| Phone: | 573-882-2568 |
This is a data base building project on the use of pre-procedure ultrasound for the
performance of labor epidural pain relief and spinal anesthesia for cesarean deliveries.
Data collection includes ultrasound measured depth, actual needle depth, angle of ultrasound
probe, actual needle angle, success rates, patient height and weight, number of attempts
needed to place the epidural needle or spinal needle. Currently we are looking at the
agreement between ultrasound determined depth of the epidural space or intrathecal space
with actual needle depth.
performance of labor epidural pain relief and spinal anesthesia for cesarean deliveries.
Data collection includes ultrasound measured depth, actual needle depth, angle of ultrasound
probe, actual needle angle, success rates, patient height and weight, number of attempts
needed to place the epidural needle or spinal needle. Currently we are looking at the
agreement between ultrasound determined depth of the epidural space or intrathecal space
with actual needle depth.
All patients presenting in labor or are having a cesarean delivery are eligible except:
patients who are under age 18, have contraindications to regional anesthesia, in advanced
labor, having emergency conditions and/or unable to understand the consent process.
- Data collected include:
- Ultrasound depth in transverse and oblique sagittal views
- Actual needle depth
- Level of placement
- Number of separate needle placements
- Number of needle redirects
- Angle of probe
- Angle of needle
- Total number of attempts
- Pt height
- Pt weight
- Pt BMI
- Pt age
- Pt gravity/parity
- Pt co-morbidities, e.g. pre-eclampsia
- Procedure performed
- Operator (Attending, CA-1, CA-2, CA-3, CRNA)
What is currently being examined is the correlation between ultrasound depth of the target
area vs actual needle depth
patients who are under age 18, have contraindications to regional anesthesia, in advanced
labor, having emergency conditions and/or unable to understand the consent process.
- Data collected include:
- Ultrasound depth in transverse and oblique sagittal views
- Actual needle depth
- Level of placement
- Number of separate needle placements
- Number of needle redirects
- Angle of probe
- Angle of needle
- Total number of attempts
- Pt height
- Pt weight
- Pt BMI
- Pt age
- Pt gravity/parity
- Pt co-morbidities, e.g. pre-eclampsia
- Procedure performed
- Operator (Attending, CA-1, CA-2, CA-3, CRNA)
What is currently being examined is the correlation between ultrasound depth of the target
area vs actual needle depth
Inclusion Criteria:
- Pregnant women in labor or scheduled for induction requesting labor epidural
analgesia
- Pregnant women scheduled for cesarean delivery
- Pregnant women in labor who are going to have a non-emergent cesarean delivery under
spinal anesthesia
Exclusion Criteria:
- Emergency delivery
- Emergency cesarean section
- Advanced labor
- Contraindications to neuraxial analgesia/anesthesia
- Unable to understand consent
- Under the age of 18
We found this trial at
1
site
Click here to add this to my saved trials
